Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY KELLER
Active Sole ProprietorMARY KELLER is a Addiction (Substance Use Disorder) Counselor healthcare provider located in BLAINE, Minnesota. NPI 1104646454 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · BLAINE, MN
Registration Details
- NPI Number
- 1104646454
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 11, 2024 (1.814342913915 yrs)
- Last Updated
- Nov 1, 2024
- License
-
303034 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10729 TOWN SQUARE DR NE STE 120BLAINE, MN, 554497923Browse MN providers · Browse ZIP 55449
- Phone
- 7633439010
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in BLAINE, MN
| Name | Credential | NPI |
|---|---|---|
| KRISTA RENEE BRENNO | M.A., L.P.C., L.A.DC | 1588958714 |
| KALPANA V SANMUGAM | LADC | 1871148882 |
| KATIE BEEDLE | — | 1912504432 |
| EVELYN ANNE WRIGHT | LADC | 1700646718 |
| CINDY LYNN ROLLAND | LADC | 1740153741 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.