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Individual
TAKELA KENYETTA KEECH
Active
Individual
TAKELA KENYETTA KEECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCASA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-28984
NC
1041C0700X
Clinical Social Worker
Primary
C020113
NC
1041C0700X
Clinical Social Worker
Primary
P015765
NC
Other
Enumeration date
07/06/2021
Last updated
06/02/2026
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