Individual
MS. MARY KATHLEEN O'KEEFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
1570 WAVERLY RD, KINGSPORT, TN 37664-2523
(423) 224-1300
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMT223
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
444006
—
VA
05
—
5441098
—
TN
Enumeration date
07/05/2006
Last updated
07/01/2015
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