Individual
KEISHA MALIA HEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 E CHOCCOLOCCO ST, OXFORD, AL 36203-1222
(256) 831-4601
(256) 835-3386
Mailing address
1722A CIRCLE DR, OXFORD, AL 36203-3210
(256) 225-3716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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