Individual provider · Type 1 NPI
Mary Keller
Addiction (Substance Use Disorder) Counselor · Blaine, MN
NPI number
1104646454
Active
Practice location
10729 Town Square Dr NE Ste 120
Blaine, MN 55449-7923
Mailing address
1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 303034 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
8 other providers at this address
- Amy Moran Wheelecor, PSYD, LPPsychologist Blaine, MN NPI 1164071148
- Ashley McCloskey, LPCCProfessional Counselor Blaine, MN NPI 1780358655
- Cambria Lyne FisherProfessional Counselor Blaine, MN NPI 1629875430
- Cindy Lynn Rolland, LADCAddiction (Substance Use Disorder) Counselor Blaine, MN NPI 1740153741
- Lindsay Jan Schwab-Peterson, NPPsychiatric/Mental Health Nurse Practitioner Blaine, MN NPI 1659777399
- Robert B. SteinClinical Social Worker Blaine, MN NPI 1760148910
- Tanager Yvonne Polowchak, MA, LPCCProfessional Counselor Blaine, MN NPI 1336418730
- Taylor Kristine Vacca, MA, BSProfessional Counselor Blaine, MN NPI 1164007282
Other addiction (substance use disorder) counselor providers in Blaine
- Krista Renee Brenno, M.A., L.P.C., L.A.DCAddiction (Substance Use Disorder) Counselor Blaine, MN NPI 1588958714
- Evelyn Anne Wright, LADCAddiction (Substance Use Disorder) Counselor Blaine, MN NPI 1700646718
- Cindy Lynn Rolland, LADCAddiction (Substance Use Disorder) Counselor Blaine, MN NPI 1740153741
- Kalpana V. Sanmugam, LADCAddiction (Substance Use Disorder) Counselor Blaine, MN NPI 1871148882
- Katie BeedleAddiction (Substance Use Disorder) Counselor Blaine, MN NPI 1912504432
About NPI 1104646454
Mary Keller's National Provider Identifier is 1104646454, issued on Oct 11, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Blaine, MN. The record was last updated on Nov 1, 2024.