Individual provider · Type 1 NPI

Carrie Keller, BS

Addiction (Substance Use Disorder) Counselor · Normal, IL

NPI number 1962332197 Active

Practice location

303 Landmark Dr Ste 2B
Normal, IL 61761-6164

Mailing address

307 W Mulberry St Apt 4
Bloomington, IL 61701-2983

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1962332197

Carrie Keller, BS's National Provider Identifier is 1962332197, issued on May 20, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Normal, IL. The record was last updated on May 20, 2026.