Organization
JACQUELINE KELLER COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE M THOMSON KELLER MA, NCC (THERAPIST)
(248) 840-5436
Entity
Organization
Contact information
Practice address
810 COTTAGEVIEW DR STE 101, TRAVERSE CITY, MI 49684-2392
(248) 840-5436
Mailing address
348 KNOLLWOOD DR, TRAVERSE CITY, MI 49686-1859
(248) 840-5436
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
01/17/2021
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