Individual
BONNIE KEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
314 S. BROADWAY, SUITE 106, ADA, OK 74820
(580) 235-0210
(580) 235-0211
Mailing address
109 N FAIRLAND ST, PRYOR, OK 74361-4203
(918) 825-1405
(918) 825-1406
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3457
OK
Other
Enumeration date
07/05/2006
Last updated
07/08/2019
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