Individual
KEELY MARIE BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1200 HILYARD ST STE 570, EUGENE, OR 97401-8168
(458) 205-7070
(458) 205-7089
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1412
(360) 729-3025
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L8191
OR
Other
Enumeration date
08/29/2013
Last updated
08/20/2019
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