Individual provider · Type 1 NPI

Shanna Ranae Keller

Mental Health Counselor · Fort Wayne, IN

NPI number 1912488750 Active

Practice location

909 E State Blvd
Fort Wayne, IN 46805-3458

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1912488750

Shanna Ranae Keller's National Provider Identifier is 1912488750, issued on Aug 28, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 28, 2018.