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Individual

KIMBERLY LOUISE KEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
720 45TH ST, MUNSTER, IN 46321-2818
(219) 852-2513
(317) 865-1479
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87900033A
IN
101YM0800X
Mental Health Counselor
Primary
88001118A
IN

Other

Enumeration date
05/10/2022
Last updated
04/02/2026
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