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Individual

MS. DEIDRA DICKEY KEENER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3536 VANN ROAD, SUITE A-6, BIRMINGHAM, AL 35235
(205) 529-9894
(205) 529-9894
Mailing address
3215 TRACE WAY, TRUSSVILLE, AL 35173
(205) 706-7295
(205) 510-2790

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
#2456
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2456
LPC
AL
05
330000034
AL
01
51535383
BLUE CROSS OF AL
AL
01
51535583
BCBS FEDERAL EMPLOYEE
AL
01
630288854
BEHAVIORAL HEALTH SVCS.
AL
Enumeration date
06/24/2006
Last updated
03/01/2019
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