person
Maxine Lynn Keller, LCADC,CADC
Addiction (Substance Use Disorder) Counselor in Berea, Kentucky
NPI 1831555853

Maxine Lynn Keller is an Addiction (Substance Use Disorder) Counselor based in Berea, KY and is specialized in Addiction (Substance Use Disorder). Maxine Lynn Keller practices in Berea, KY and has the professional credentials of LCADC,CADC. The NPI Number for Maxine Lynn Keller is 1831555853 and holds a License No. ADCADC00220812 (Kentucky).

The current practice location address for Maxine Lynn Keller is 102 Pasco St, Berea, KY and can be reached out via phone at 859-200-3894.

Location: 102 Pasco St, Berea, KY, 40403-1529
person
Provider Profile Details
NPI Number
1831555853
Provider Name
Maxine Lynn Keller
Credential
LCADC,CADC
Provider Entity Type
Individual
Gender
Female
Address
102 Pasco St, Berea, KY, 40403-1529
Phone Number
859-200-3894
Fax Number
Provider Enumeration Date
01/06/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
102 Pasco St
City
State
Zip
40403-1529
Phone Number
859-200-3894
Fax Number
person
Provider Business Mailing Address Details
Address
102 Pasco St
City
State
Zip
40403-1529
Phone Number
859-200-3894
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
ADCADC00220812 (Kentucky)
Definition
Definition to come...
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