Individual
MADELINE KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC- ASSOCIATE
Contact information
Practice address
5944 LUTHER LN # 470, DALLAS, TX 75225-5942
(228) 217-5065
Mailing address
10664 LAKE HAVEN DR, DALLAS, TX 75238-2807
(228) 217-5065
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
98875
TX
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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