Individual
TABATHA KEEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPC
Contact information
Practice address
1757 W C ST, TORRINGTON, WY 82240-3215
(307) 338-2256
Mailing address
4397 MCKENNA RD, TORRINGTON, WY 82240-8452
(307) 575-1326
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1225
WY
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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