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Jonathan Richard Keller, CADAC
Counselor in Phoenix, Arizona
NPI 1649627514

Jonathan Richard Keller is a Counselor based in Phoenix, AZ. Jonathan Richard Keller practices in Phoenix, AZ and has the professional credentials of CADAC. The NPI Number for Jonathan Richard Keller is 1649627514 and holds a License No. CI05830516 (Arizona).

The current practice location address for Jonathan Richard Keller is 330 E Roosevelt St Apt 5008, Phoenix, AZ and can be reached out via phone at 619-733-0906.

Location: 330 E Roosevelt St Apt 5008, Phoenix, AZ, 85004-4313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649627514
Provider Name
Jonathan Richard Keller
Credential
CADAC
Provider Entity Type
Individual
Gender
Male
Address
330 E Roosevelt St Apt 5008, Phoenix, AZ, 85004-4313
Phone Number
619-733-0906
Fax Number
Provider Enumeration Date
05/19/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
330 E Roosevelt St Apt 5008
City
Phoenix
State
Arizona
Zip
85004-4313
Phone Number
619-733-0906
Fax Number
person
Provider Business Mailing Address Details
Address
330 E Roosevelt St Apt 5008
City
Phoenix
State
Arizona
Zip
85004-4313
Phone Number
619-733-0906
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CI05830516 (California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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