Organization
MISTI KEEN, LPC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTI DAWN KEEN LPC (OWNER/THERAPIST)
(334) 437-5742
Entity
Organization
Contact information
Practice address
590 S BOUTWELL RD, FOREST HOME, AL 36030-5327
(334) 437-5742
Mailing address
590 S BOUTWELL RD, FOREST HOME, AL 36030-5327
(334) 437-5742
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3395
AL
Other
Enumeration date
02/05/2017
Last updated
02/05/2017
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