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NPI Code Detail

MEDICARE: PATRICIA KELLER LPC

MEDICARE: PATRICIA KELLER LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor2007019139MO

General Provider Information

NPI Number : 1326239948
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA KELLER LPC
Provider Business Mailing Address
First Line : 4523 NEWBERRY TER
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63113-2410
Country : US
Telephone Number : 314-732-6135
Fax Number :
Provider Business Practice Location Address
First Line : 4523 NEWBERRY TER
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63113-2410
Country : US
Telephone Number : 314-732-6135
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2007
Last Update Date : 08/08/2007

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Directions to “ PATRICIA KELLER LPC” Practice Location

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