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Individual
MR. JAMES B KEEDY
Active
Individual
MR. JAMES B KEEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC LMFT LSOTP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
9498
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
6192
TX
101YP2500X
Professional Counselor
Primary
10216
TX
106H00000X
Marriage & Family Therapist
3594
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143327801
—
TX
Enumeration date
04/17/2007
Last updated
01/16/2009
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