person
Matthew Ryan Keller, LPC
Professional Counselor in Ash Flat, Arkansas
NPI 1962742569

Matthew Ryan Keller is a Professional Counselor based in Jonesboro, AR and is specialized in Professional. Matthew Ryan Keller practices in Ash Flat, AR and has the professional credentials of LPC. The NPI Number for Matthew Ryan Keller is 1962742569 and holds a License No. P1511123 (Arkansas).

The current practice location address for Matthew Ryan Keller is 75 Hwy 62/4 12, Ash Flat, AR and can be reached out via phone at 870-994-7060 and via fax at 870-994-7063.

Location: 75 Hwy 62/4 12, Ash Flat, AR, 72401-7870
person
Provider Profile Details
NPI Number
1962742569
Provider Name
Matthew Ryan Keller
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
75 Hwy 62/4 12, Ash Flat, AR, 72401-7870
Phone Number
870-994-7060
Fax Number
870-994-7063
Provider Enumeration Date
02/20/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
191202795 05 AR
institution
Provider Business Practice Location Address Details
Address
75 Hwy 62/4 12
City
State
Zip
72513-9629
Phone Number
870-994-7060
Fax Number
870-994-7063
person
Provider Business Mailing Address Details
Address
75 Hwy 62/4 12
City
State
Zip
72513-9629
Phone Number
870-994-7060
Fax Number
870-994-7063
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
P1511123 (Arkansas)
Definition
Definition to come...
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