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Individual

MRS. MELINDA MICHELLE KEATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC-S, LICDC

Contact information

Practice address
901 WASHINGTON ST, PORTSMOUTH, OH 45662-3944
(740) 354-7702
(740) 353-1662
Mailing address
901 WASHINGTON ST, PORTSMOUTH, OH 45662-3944
(740) 354-7702
(740) 353-1662

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICDC.121138
OH
101YM0800X
Mental Health Counselor
E. 1200118 .SUPV
OH
101YP2500X
Professional Counselor
Primary
E.1200118.SUPV
OH

Other

Enumeration date
02/19/2016
Last updated
02/17/2021
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