Mary Keller

NPI #1104646454 in Blaine, Minnesota

Provider Information

NPI Number
1104646454
Entity Type
Individual
Name
Mary Keller
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Oct 11, 2024
Last Updated
Nov 1, 2024

Practice Location

Address
10729 TOWN SQUARE DR NE STE 120
City
Blaine
ZIP Code
55449-7923
Phone
(763) 343-9010

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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