Search › Arizona › 101Y00000X
Jonathan Keller, CADAC
NPI 1649627514 · on the registry since 2016 · sole proprietor
Practice
- Address
- 330 E Roosevelt St Apt 5008
Phoenix, AZ 85004 - Phone
- (619) 733-0906
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona