Heather Keller
Counselor, Professional in Lakeside, AZ. Individual provider (NPI-1).
NPI number1003065632
StatusActive
Last updated in NPPESFeb 15, 2021
Details
- NPI
- 1003065632
- Entity type
- Individual (NPI-1)
- Name
- Heather Keller
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 18, 2008
- Certification date
- Feb 15, 2021
- Last updated
- Feb 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
20 E White Mountain BlvdLakeside, AZ 85929-6807
Phone 480-389-4519
Mailing address
20 E White Mountain Blvd Ste A5-118Lakeside, AZ 85929-6807
Phone 480-389-4519 · Fax 480-637-7570
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