NPI 1003065632

Heather Keller

Practitioner Professional Counselor Lakeside, AZ

Practice location

Address: 20 E White Mountain Blvd, Lakeside, AZ 85929-6807
Phone: (480) 389-4519
Mailing address: 20 E White Mountain Blvd STE A5-118, Lakeside, AZ 85929-6807

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X

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Registry record

NPI: 1003065632
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Sep 2008
Record last updated: 15 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.