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

Mary Keller

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104646454

Mary Keller is an Addiction (Substance Use Disorder) Counselor in Blaine, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2024

Practice location Address checks out

10729 Town Square Dr NE Ste 120
Blaine, MN 55449-7923
Phone: (763) 343-9010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 303034 (MN)

Record details

NPI number1104646454
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 11, 2024
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024
Mailing address1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789

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