Individual provider · Type 1 NPI

Wade Keller, MA, LAMFT

Marriage & Family Therapist · Prior Lake, MN

NPI number 1114706421 Active

Practice location

15852 Pennsylvania Ave
Prior Lake, MN 55372-2270

Other practice locations

  • 8640 Eagle Creek Cir, Savage, MN 55378-4400 · (612) 656-9056

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Marriage & Family Therapist Primary 106H00000X4431 (MN)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1114706421

Wade Keller, MA, LAMFT's National Provider Identifier is 1114706421, issued on Sep 26, 2023. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Prior Lake, MN. The record was last updated on Sep 26, 2023.