Individual
KEITH VESSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4300 GRAVOIS RD, HOUSE SPRINGS, MO 63051-2304
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(844) 853-8937
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2019031608
MO
1041C0700X
Clinical Social Worker
Primary
2026001853
MO
Other
Enumeration date
01/03/2024
Last updated
01/15/2026
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