Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Richard Keller, CADAC

Individual provider Counselor · NPI 1649627514

Jonathan Richard Keller, CADAC is a Counselor in Phoenix, Arizona. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
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Practice location Address checks out

330 E Roosevelt St Apt 5008
Phoenix, AZ 85004-4313
Phone: (619) 733-0906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence CI05830516 (CA)

Record details

NPI number1649627514
Entity typeIndividual (Type 1)
GenderMale
Credentials CADAC
Sole proprietorYes
NPI enumeratedMay 19, 2016
Last updated in NPPESDecember 20, 2023
Certification dateDecember 20, 2023

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