Individual
GEORGIA R KEENAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
212 S 11TH STREET, LACROSSE, WI 54601
(608) 791-9555
(608) 791-9432
Mailing address
700 WEST AVENUE SOUTH, ATTN PHYSICIAN SERVICES, LACROSSE, WI 54601
(608) 791-4156
(608) 791-9898
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1700
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39648500
—
WI
Enumeration date
06/03/2006
Last updated
07/08/2007
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