Individual provider · Type 1 NPI

Heather Keller

Professional Counselor · Lakeside, AZ

NPI number 1003065632 Active

Practice location

20 E White Mountain Blvd
Lakeside, AZ 85929-6807

Mailing address

20 E White Mountain Blvd Ste A5-118
Lakeside, AZ 85929-6807

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1003065632

Heather Keller's National Provider Identifier is 1003065632, issued on Sep 18, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lakeside, AZ. The record was last updated on Feb 15, 2021.