Individual
GABRIELLE KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
12 CHARTER OAK PL, HARTFORD, CT 06106-5116
(860) 218-0942
Mailing address
12 CHARTER OAK PL, HARTFORD, CT 06106-5116
(860) 218-0942
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004040564
—
CT
Enumeration date
08/13/2018
Last updated
12/28/2023
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