Individual
ADAM KEONIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 7TH ST, WAUKEE, IA 50263-9613
(816) 390-6940
Mailing address
415 7TH ST, WAUKEE, IA 50263-9613
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001729
IA
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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