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Individual

CRISTIN LYNNE KEELING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
916 RED HOUSE RD, RICHMOND, KY 40475-9326
(910) 385-9624
Mailing address
122 ARMITAGE DR, RICHMOND, KY 40475-8746
(859) 221-7975

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
247419
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1780041632
KY
Enumeration date
06/25/2019
Last updated
06/25/2019
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