Individual
MADELEINE L. KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1700521
OH
101YP2500X
Professional Counselor
Primary
E1901494
OH
Other
Enumeration date
09/01/2016
Last updated
10/21/2020
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