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Individual
MRS. JONA M KEETON
Active
Individual
MRS. JONA M KEETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, PMHCNS-BC
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0203
MS
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
R533084
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20 520558L
TAX ID FOR A BRIDGE TO RECOVERY
MS
Enumeration date
09/26/2006
Last updated
12/30/2010
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