Individual
MS. PATRICIA KEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
15500 CHISPA RD, ATASCADERO, CA 93422-6519
(805) 471-7790
Mailing address
5855 CAPISTRANO AVE, ATASCADERO, CA 93422-7201
(805) 438-4238
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LMFT 35568
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
402137
MENTAL HEALTH NETWORK
CA
Enumeration date
10/05/2009
Last updated
10/05/2009
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