Individual provider · Type 1 NPI
Jai Bea Keller, L.M.H.C.
Mental Health Counselor · Medford, MA
NPI number
1285772897
Active
Practice location
86 Boston Ave
Medford, MA 02155-3522
Fax (781) 483-2221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | #1354 (MA) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1285772897
Jai Bea Keller, L.M.H.C.'s National Provider Identifier is 1285772897, issued on Feb 3, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, MA. The record was last updated on Jul 8, 2007.