Provider First Line Business Practice Location Address:
907 WEST L STREET
Provider Second Line Business Practice Location Address:
CARLENE KELLER, LMHP COUNSELING SERVICES
Provider Business Practice Location Address City Name:
MC COOK
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
69001-3537
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
308-345-7062
Provider Business Practice Location Address Fax Number:
308-345-7062
Provider Enumeration Date:
08/12/2005