Provider Demographics
NPI:1184614042
Name:KELLER, FRANK (LPC)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:
Last Name:KELLER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9865 W BELL RD
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-1344
Mailing Address - Country:US
Mailing Address - Phone:623-876-1246
Mailing Address - Fax:623-933-5463
Practice Address - Street 1:9865 W BELL RD
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-1344
Practice Address - Country:US
Practice Address - Phone:623-876-1246
Practice Address - Fax:623-933-5463
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC1845101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor