Wally A. Keller in Auburn - Marriage & Family Therapist
Wally A. Keller - NPI 1528269115
Wally A. Keller is a Marriage & Family Therapist in Auburn, California. Wally A. Keller practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Wally A. Keller is 1528269115. The last update date is 2011-06-01.
Wally A. Keller's current location address is 379 Nevada St, Auburn, California. You can contact this provider via phone number 5308861871 and fax number 5308861888. The mailing address for Wally A. Keller is 379 Nevada St, Auburn, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wally A. Keller |
|---|---|
| Address | 379 Nevada St, Auburn, California |
| Phone Number | 5308861871 |
| Fax Number | 5308861888 |
| Sole Proprietor | N |
| Credentials | M.A. |
NPI Number Detail
| NPI Number | 1528269115 |
|---|---|
| Provider Enumeration Date | 2007-05-30 |
| Last Updated Date | 2011-06-01 |
Provider Mailing Address Detail
| Address | 379 Nevada St |
|---|---|
| City | Auburn |
| State | California (CA) |
| Post Code | 956033722 |
| Phone Number | 5308861871 |
| Fax Number | 5308861888 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 60873 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique identification code assigned to Wally A. Keller by the Centers for Medicare & Medicaid Services?
The Wally A. Keller has been issued the NPI (National Provider Identifier) 1528269115. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Wally A. Keller is located?
The Wally A. Keller is situated at the following address: 379 Nevada St, Auburn, CA, 956033722.
What is Wally A. Keller's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Wally A. Keller is Marriage & Family Therapist, and the taxonomy code that categorizes this field of expertise is 106H00000X.
On what date did the Wally A. Keller receive the assignment of its 1528269115 from the Centers for Medicare & Medicaid Services?
The Wally A. Keller was issued its 1528269115 by the Centers for Medicare & Medicaid Services on 2007-05-30.
As of what date were the Wally A. Keller's details last updated?
The information pertaining to the Wally A. Keller, including its address, specialty, and other details, was most recently updated on 2011-06-01.
NPI Number: 1942207287
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