Individual provider · Type 1 NPI

Kelly Keller, LPC-IT

Mental Health Counselor · Madison, WI

NPI number 1588112643 Active

Practice location

6333 Odana Rd Ste 20
Madison, WI 53719-1130

Call (608) 270-2511 Map

Fax (608) 270-0467

Other practice locations

  • 348 E Main St, Reedsburg, WI 53959-1940 · (608) 495-9284

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3227 - 226 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1588112643

Kelly Keller, LPC-IT's National Provider Identifier is 1588112643, issued on Sep 19, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Madison, WI. The record was last updated on Jan 3, 2019.