Wade Keller, MA, LAMFT

NPI #1114706421 in Prior Lake, Minnesota

Provider Information

NPI Number: 1114706421
Entity Type: Individual
Name: Wade Keller, MA, LAMFT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Marriage & Family Therapist
Credential: MA, LAMFT
Enumeration Date: Sep 26, 2023
Last Updated: Sep 26, 2023

Practice Location

Address: 15852 PENNSYLVANIA AVE
City: Prior Lake
State: Minnesota
ZIP Code: 55372-2270
Phone: (612) 991-2937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Marriage & Family Therapist	106H00000X	Primary

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