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