Individual
TAYLOR KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
6301 19TH AVE NW, MINOT, ND 58703-8899
(701) 852-3628
(701) 852-1190
Mailing address
2400 BURDICK EXPY E STE 101, MINOT, ND 58701-5006
(701) 335-6005
(701) 852-1190
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
964-7-15-18-410
ND
101YP2500X
Professional Counselor
964-7-15-18A
ND
Other
Enumeration date
08/13/2018
Last updated
02/17/2022
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