Organization
KEETON ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOMER DALE KEETON PH.D. (PRESIDENT)
(703) 356-1330
Entity
Organization
Contact information
Practice address
407 CHURCH ST NE STE I, VIENNA, VA 22180-4737
(703) 356-1330
(703) 938-1373
Mailing address
1810 ABBEY GLEN CT, VIENNA, VA 22182-1969
(793) 356-1330
(703) 938-1373
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701000638
VA
Other
Enumeration date
08/02/2006
Last updated
08/22/2020
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