Jacob R Keller, LPCC

NPI #1629340856 in Eaton, Ohio

Provider Information

NPI Number: 1629340856
Entity Type: Individual
Name: Jacob R Keller, LPCC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPCC
Enumeration Date: Feb 3, 2012
Last Updated: Sep 12, 2023

Practice Location

Address: 411 W MAIN ST
City: Eaton
State: Ohio
ZIP Code: 45320-1624
Phone: (937) 475-9124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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