Individual provider · Type 1 NPI

Ivy Rose Keller

Mental Health Counselor · Malden, MA

NPI number 1063284289 Active

Practice location

389 Main St Fl 3
Malden, MA 02148-5054

Call (617) 804-2773 Map

Mailing address

120 Maple St
Middleton, MA 01949-2228

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063284289

Ivy Rose Keller's National Provider Identifier is 1063284289, issued on Oct 23, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Malden, MA. The record was last updated on Aug 25, 2026.