| Tracie L Keller, Lpcc, Llc | |
|
1080 Fishinger Rd Ste 103 Columbus OH 43221-2302 | |
| (614) 822-7819 | |
| (614) 372-5590 |
| Full Name | Tracie L Keller, Lpcc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1080 Fishinger Rd Ste 103, Columbus, Ohio |
| Authorized Official Name and Position | Tracie L Keller (OWNER) |
| Authorized Official Contact | 6148227819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracie L Keller, Lpcc, Llc 1080 Fishinger Rd Ste 103 Columbus OH 43221-2302 Ph: (614) 822-7819 | Tracie L Keller, Lpcc, Llc 1080 Fishinger Rd Ste 103 Columbus OH 43221-2302 Ph: (614) 822-7819 |
| NPI Number | 1770960650 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 04/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770960650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.0900503-SUPV (Ohio) | Primary |
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