Individual
MRS. LINDA JEAN KEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
30 POVERTY RD, SUITE B, SOUTHBURY, CT 06488-2254
(203) 910-3543
(203) 263-6565
Mailing address
30 POVERTY RD, SUITE B, SOUTHBURY, CT 06488-1948
(203) 910-3543
(203) 263-6565
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008004566
—
CT
01
—
11793020
HEALTHYCT
CT
01
—
240001585CT02
ANTHEM
CT
01
—
9536370
AETNA
CT
Enumeration date
09/20/2007
Last updated
01/07/2014
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