Male or Other

Joe Keller LCSW LAC

Full Name

Joe Keller LCSW LAC

NPI Number

1477507838

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/20/2006

Specialties

(Taxonomies)

Code

101YA0400X
1041C0700X

Primary Taxonomy

No
No

Licenses

State

Montana
Montana

License Number

951LAC
579LCSW

Contact
Information

Purpose

Mailing
Location

Address

307 1ST AVE E
307 1ST AVE E

City

Kalispell
Kalispell

State

MT
MT

Postal Code

59901
59901

Country

US
US

Telephone Number

(406) 257-3877
(406) 257-3877

Identifiers

Identifier

0502061
71333

Identifier State

MT
MT

Identifier Issuer

Unknown
BLUE CROSS BLUE SHIELD

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address