Individual provider · Type 1 NPI

Jacqueline Keller, LPC

Professional Counselor · Traverse City, MI

NPI number 1669947115 Active

Practice location

810 Cottageview Dr Ste 101
Traverse City, MI 49684-2392

Mailing address

348 Knollwood Dr
Traverse City, MI 49686-1859

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401007863 (MI)

Professional Counselor: Definition to come...

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About NPI 1669947115

Jacqueline Keller, LPC's National Provider Identifier is 1669947115, issued on Oct 11, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Traverse City, MI. The record was last updated on Jan 17, 2021.