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Individual

CHRISTOPHER WADE KEENER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, LCDC

Contact information

Practice address
3330 S LANCASTER RD, DALLAS, TX 75216-4531
(972) 528-6832
Mailing address
3330 S LANCASTER RD, DALLAS, TX 75216-4531
(972) 528-6832

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10947
TX
101YP2500X
Professional Counselor
Primary
64759
TX

Other

Enumeration date
10/13/2008
Last updated
07/18/2012
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