Individual
BLENDA KEYLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2121 N WEBB RD, STE 100A, GRAND ISLAND, NE 68803
(308) 381-4161
(308) 381-4165
Mailing address
2121 N WEBB RD, STE 100A, GRAND ISLAND, NE 68803
(308) 381-4161
(308) 381-4165
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2026
NE
1041C0700X
Clinical Social Worker
943
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024963100
—
NE
Enumeration date
11/02/2006
Last updated
09/11/2025
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