Individual
KELLY J KEELER
Active
Individual
KELLY J KEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
0012117
CO
102L00000X
Psychoanalyst
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
10/10/2012
Last updated
06/21/2022
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