Individual
MS. KAREN KEATING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPCC, LADAC
Contact information
Practice address
26 NARROW GAUGE DR., DULCE, NM 87528
(575) 759-3162
Mailing address
PO BOX 546, DULCE, NM 87528-0546
(505) 759-3162
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0102151
NM
101YM0800X
Mental Health Counselor
Primary
0099501
NM
Other
Enumeration date
10/23/2007
Last updated
10/27/2007
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