| NPI | 1699132308 |
|---|---|
| Former Name | RENEE L KELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 22-07-20189) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2026-06-02 |