Individual provider · Type 1 NPI
Matthew Ryan Keller, LPC
Professional Counselor · Ash Flat, AR
NPI number
1962742569
Active
Practice location
75 Hwy 62/4 12, Suite J
Ash Flat, AR 72513-9629
Fax (870) 994-7063
Mailing address
1815 Pleasant Grove Rd
Jonesboro, AR 72401-7870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | P1511123 (AR) |
Professional Counselor: Definition to come...
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About NPI 1962742569
Matthew Ryan Keller, LPC's National Provider Identifier is 1962742569, issued on Feb 20, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ash Flat, AR. The record was last updated on Jul 21, 2022.