Individual
HEATHER KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1443 CORPORATE WAY, SEYMOUR, IN 47274-3391
(812) 522-4341
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39005249A
IN
Other
Enumeration date
06/20/2013
Last updated
05/04/2025
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