Individual
SHEILA K KEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSUDC
Contact information
Practice address
1066 W GORDON CREEK RD, PRICE, UT 84501-4101
(435) 637-8541
Mailing address
1066 W GORDON CREEK RD, PRICE, UT 84501-4101
(435) 637-8541
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10161091-6005
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10161091-6005
CSUDC LICENSE UT DEPT. OF PROFESSIONAL LICENSING
UT
Enumeration date
08/08/2017
Last updated
07/21/2022
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