Individual
KATHIANNE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, LMAC
Contact information
Practice address
25955 W 327TH ST, PAOLA, KS 66071-4920
(913) 557-9096
(913) 294-9247
Mailing address
5143 W 75TH ST, PRAIRIE VILLAGE, KS 66208-4401
(660) 888-1304
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
01183
KS
101YM0800X
Mental Health Counselor
Primary
04157
KS
101YP2500X
Professional Counselor
Primary
04171
KS
Other
Enumeration date
09/19/2022
Last updated
02/04/2026
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