Organization
SUE KELLER COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KELLER LCSW (COUNSELOR)
(217) 607-9256
Entity
Organization
Contact information
Practice address
505 W UNIVERSITY AVE, SUITE 4, CHAMPAIGN, IL 61820-3915
(217) 607-9256
Mailing address
505 W UNIVERSITY AVE, SUITE 4, CHAMPAIGN, IL 61820-3915
(217) 607-9256
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
149.018211
IL
Other
Enumeration date
02/07/2016
Last updated
02/07/2016
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