person
Jai Bea Keller, LMHC
Mental Health Counselor in Medford, Massachusetts
NPI 1285772897

Jai Bea Keller is a Mental Health Counselor based in Medford, MA and is specialized in Mental Health. Jai Bea Keller practices in Medford, MA and has the professional credentials of LMHC. The NPI Number for Jai Bea Keller is 1285772897 and holds a License No. #1354 (Massachusetts).

The current practice location address for Jai Bea Keller is 86 Boston Ave, Medford, MA and can be reached out via phone at 781-488-3503 and via fax at 781-483-2221.

Location: 86 Boston Ave, Medford, MA, 02155-3522
person
Provider Profile Details
NPI Number
1285772897
Provider Name
Jai Bea Keller
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
86 Boston Ave, Medford, MA, 02155-3522
Phone Number
781-488-3503
Fax Number
781-483-2221
Provider Enumeration Date
02/03/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
#1354 01 MA L.M.H.C.
institution
Provider Business Practice Location Address Details
Address
86 Boston Ave
City
State
Zip
02155-3522
Phone Number
781-488-3503
Fax Number
781-483-2221
person
Provider Business Mailing Address Details
Address
86 Boston Ave
City
State
Zip
02155-3522
Phone Number
781-488-3503
Fax Number
781-483-2221
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
#1354 (Massachusetts)
Definition
Definition to come...
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