Mary A Keller, LPC
Counselor, Professional in Piscataway, NJ. Individual provider (NPI-1).
NPI number1386722650
StatusActive
Last updated in NPPESJul 20, 2011
Details
- NPI
- 1386722650
- Entity type
- Individual (NPI-1)
- Name
- Mary A Keller
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2006
- Last updated
- Jul 20, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 37PC00030900 | NJ | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 37LC00118400 | NJ |
Practice location
671 Hoes LnPiscataway, NJ 08854-5627
Phone 800-969-5300
Mailing address
671 Hoes LnP. O. Box 1392
Piscataway, NJ 08854-5627
Phone 732-235-5940 · Fax 732-235-2408
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