Keller, Dorothy Jean

Keller, Dorothy Jean is an individual health care provider with primary practice located at 3470 Blazer Pkwy , Lexington KY 40509-1200. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Keller, Dorothy Jean can be contacted via phone (859) 323-6021.

Contact Information

Primary practice address
3470 Blazer Pkwy Lexington KY 40509-1200
Phone: (859) 323-6021
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0878 Kentucky
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0878 Kentucky
Behavioral Health & Social Service Providers / Professional 101YP2500X 0878 Kentucky
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0878 Kentucky

Profile Details

NPI number 1366525032
LBN Legal business name Keller, Dorothy Jean
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Apr 14th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366525032 NPPES
Kentucky MEDICAID 82000068

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