Individual
ANGELA LYNN KEITH
Active
Individual
ANGELA LYNN KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
11038
AZ
101YP2500X
Professional Counselor
LPC-11038
AZ
103TC1900X
Counseling Psychologist
Primary
4035
AZ
Other
Enumeration date
08/14/2006
Last updated
02/10/2012
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