Individual
RYAN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, PPS
Contact information
Practice address
2376 NORTH AVE, CHICO, CA 95926-1434
(530) 891-3080
Mailing address
1163 E 7TH ST, CHICO, CA 95928-5999
(530) 891-3000
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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