Keller, Wade

Keller, Wade is an sole proprietor health care provider with primary practice located at 15852 Pennsylvania Ave , Prior Lake MN 55372-2270. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Keller, Wade can be contacted via phone (612) 991-2937.

Contact Information

Primary practice address
15852 Pennsylvania Ave Prior Lake MN 55372-2270
Phone: (612) 991-2937
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4431 Minnesota

Profile Details

NPI number 1114706421
LBN Legal business name Keller, Wade
Credentials MA, LAMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2023
Last updated Sep 26th, 2023 - about last year

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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