Individual provider · Type 1 NPI
Mary Jane Keller, LPC
Professional Counselor · Dallas, TX
NPI number
1437475258
Active
Practice location
3100 Carlisle, Suite 109
Dallas, TX 75204
Fax (214) 245-5880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 62580 (TX) |
Professional Counselor: Definition to come...
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About NPI 1437475258
Mary Jane Keller, LPC's National Provider Identifier is 1437475258, issued on Apr 19, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Apr 19, 2010.