MR. WALLY A. KELLER (NPI# 1528269115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528269115 |
| Entity Type | Individual |
| Full Name | MR. WALLY A. KELLER |
| Credential | M.A. |
| Practice Address |
379 Nevada St Auburn CA 95603-3722 |
| Practice Telephone | 5308861871 |
| Practice Fax Number | 5308861888 |
| Mailing Telephone | 5308861871 |
| Mailing Fax Number | 5308861888 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2011-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 60873 | CA | Behavioral Health & Social Service Providers |
| Street Address |
379 NEVADA ST |
| City | AUBURN |
| State | CA |
| Zip Code | 95603-3722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881635621 | Richard James Burton | Preventive Medicine | 379 Nevada St, Auburn, CA 95603-3722 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271508 | James Robert Thornton | Social Worker | 398 Rhoes View Dr, Auburn, CA 95603 | 2020-07-06 |
| 1437713674 | June Meja Razzano | Psychoanalyst | 265 Nevada Station, Auburn, CA 95603 | 2019-04-23 |
| 1689175366 | Georgia Lee Bates | Speech-Language Pathologist | 2145 Bell Road, 215, Auburn, CA 95603 | 2018-02-27 |
| 1811406085 | Veronica Evette Magana | Specialist | 11485 C Ave, Auburn, CA 95603 | 2017-09-20 |
| 1043733777 | Ken Rescate | Physical Therapist | 2145 Bell Road, #215, Auburn, CA 95603 | 2017-07-25 |
| 1730534975 | Juanita Carey | Counselor | 1190 Heritage Oak Place, Auburn, CA 95603 | 2016-04-25 |
| 1255747010 | Cara Wilber | Marriage & Family Therapist | 11512 B Avenure, Auburn, CA 95603 | 2014-07-01 |
| 1538572094 | Mark Garrison | Pharmacist | 13386 Lincoln Way, Auburn, CA 95603 | 2014-06-03 |
| 1427460583 | Tessa Jacques | Marriage & Family Therapist | 263 Nevada Station, Auburn, CA 95603 | 2014-05-23 |
| 1629497359 | Elisabeth Ann Neubert-cook | Registered Nurse | 11484 B. Avenue, Auburn, CA 95603 | 2014-04-09 |
| Find all providers in zip 95603 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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 supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144851247 | Brian Timothy Gillis | Marriage & Family Therapist | 158 S Debardeleben St, Auburn, AL 36830-5520 | 2020-01-28 |
| 1629539234 | Brinina A Howard | Marriage & Family Therapist | 530 Lee Road 57, Auburn, AL 36832-8731 | 2019-03-27 |
| 1659865707 | Esther Wanjiru Wanjihia | Marriage & Family Therapist | 28814 44th Ave S, Auburn, WA 98001-2623 | 2018-06-20 |
| 1730677170 | Sarah Joy Bradley | Marriage & Family Therapist | 337 E Magnolia Ave Ste B, Auburn, AL 36830-4842 | 2018-04-30 |
| 1124525928 | Guiding Light Therapy Pllc | Marriage & Family Therapist | 78 Heather Cir, Auburn, NH 03032-3951 | 2018-04-09 |
| 1649707969 | Jenny Hubal | Marriage & Family Therapist | 10193 Combie Rd Ste 210, Auburn, CA 95602-8976 | 2017-05-17 |
| 1669907416 | Kirsten Lesch | Marriage & Family Therapist | 30 Calemad Dr, Auburn, NY 13021-9242 | 2017-04-28 |
| 1154860658 | Steven Gaffney | Marriage & Family Therapist | 1701 36th St Se, Auburn, WA 98002-8265 | 2017-02-16 |
| 1881046555 | Katherine Marie Harding | Marriage & Family Therapist | 263 Nevada St, Auburn, CA 95603-4617 | 2016-07-06 |
| 1538537956 | Diane Kathleen Mulhern | Marriage & Family Therapist | 2204 Shirland Tract Rd, Auburn, CA 95603-9419 | 2015-09-02 |
| Find all providers in AUBURN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.