Keith Keller, L.M.S.W

NPI #1366834251 in Keokuk, Iowa

Provider Information

NPI Number: 1366834251
Entity Type: Individual
Name: Keith Keller, L.M.S.W
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: L.M.S.W
Enumeration Date: Mar 2, 2015
Last Updated: Mar 2, 2015

Practice Location

Address: 928 MAIN ST
City: Keokuk
State: Iowa
ZIP Code: 52632-4655
Phone: (319) 524-4397

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary
Social Worker	104100000X
Marriage & Family Therapist	106H00000X
Counselor - Mental Health — Mental Health	101YM0800X

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