Individual
MS. ANGELA DAWN KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
209 S ACORN ST, FREDERICKSBURG, TX 78624-3103
(830) 997-9756
Mailing address
407 W LIVE OAK ST, FREDERICKSBURG, TX 78624-4411
(281) 806-9645
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
66966
TX
101YP2500X
Professional Counselor
Primary
66966
TX
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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