Individual
SANDRA L. KEELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3001 WARRIOR LN, POPLAR BLUFF, MO 63901-8685
(573) 686-1200
(573) 686-1029
Mailing address
PO BOX 280, POPLAR BLUFF, MO 63902-0280
(573) 686-1200
(573) 686-1029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2007002502
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11792041
CAQH
—
05
—
166009719
—
AR
01
—
2268
EAP IMPACT
—
05
—
494916802
—
MO
Enumeration date
04/03/2007
Last updated
03/12/2009
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