MRS. SANDRA KAY KELLERSTRASS LCPC
NPI 1821515081
Counselor - Professional in Morton, IL
Active since August 28, 2017
About Mrs. Sandra Kay Kellerstrass Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SANDRA KAY KELLERSTRASS LCPC (NPI 1821515081) is an individual professional provider in Morton, Illinois, licensed in Illinois (180.010932) and active in the NPI registry since August 2017. She maintains a secondary practice location in Morton.
NPPES Registry Identity
NPI1821515081
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. SANDRA KAY KELLERSTRASSCredential: LCPC
Location Address320 E JACKSON ST STE 3Morton, IL 61550-1615
Mailing Address320 E Jackson St Ste 3Morton, IL 61550-1615 · (309) 678-5713
Phone(309) 678-5713
Sole ProprietorNo
Enumeration DateAugust 28, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1821515081 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.010932
320 E JACKSON ST STE 3, Morton, IL 61550
Secondary Practice Location 1
Location 130 E Jackson St Ste 3Morton, IL 61550-1622 · Phone (309) 678-5713
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821515081, enumerated as an "individual" on August 28, 2017.
The provider is located at 320 E JACKSON ST STE 3 MORTON, IL 61550 and the phone number is (309) 678-5713.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
