Individual
MR. TAYLOR WILLIAM KEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5285 HIGHWAY N STE 103, COTTLEVILLE, MO 63304-7733
(314) 717-0319
Mailing address
12141 LAND O LAKES DR, SAINT LOUIS, MO 63146-5118
(314) 740-7418
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2013036834
MO
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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