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General NPI Number Information
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NPI Number | 1790863355
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Entity Type | Individual
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Provider Name | MARTIN KELLER JEANE PH.D., LPC-S, LMFT
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/10/2015
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Provider Practice Location Address
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Address Line | 305 REGENCY PARKWAY #601
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City | MANSFIELD
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State | TX
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Zip | 76063-7306
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Country | US
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Telephone | 817-539-0499
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Fax | 817-539-0498
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Provider Business Mailing Address
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Address Line | 305 REGENCY PARKWAY #601
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City | MANSFIELD
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State | TX
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Zip | 76063-7306
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Country | US
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Telephone | 817-539-0499
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Fax | 817-539-0498
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 08035
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 116
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License Number State | TX
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