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Mrs. Michelle Marie Keller
Mental Health Counselor in Evergreen Park, Illinois
NPI 1295273852

Michelle Marie Keller is a Mental Health Counselor based in Evergreen Park, IL and is specialized in Mental Health. Michelle Marie Keller practices in Evergreen Park, IL. The NPI Number for Michelle Marie Keller is 1295273852 and holds a License No. 178012122 (Illinois).

The current practice location address for Michelle Marie Keller is 3317 W 95Th St, Evergreen Park, IL and can be reached out via phone at 708-529-3011.

Location: 3317 W 95Th St, Evergreen Park, IL, 60805-2243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295273852
Provider Name
Michelle Marie Keller
Credential
Provider Entity Type
Individual
Gender
Female
Address
3317 W 95Th St, Evergreen Park, IL, 60805-2243
Phone Number
708-529-3011
Fax Number
Provider Enumeration Date
02/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3317 W 95Th St
City
Evergreen Park
State
Illinois
Zip
60805-2243
Phone Number
708-529-3011
Fax Number
person
Provider Business Mailing Address Details
Address
3317 W 95Th St
City
Evergreen Park
State
Illinois
Zip
60805-2243
Phone Number
708-529-3011
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
178012122 (Illinois)
Definition
Definition to come...
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