Individual
KEELY B ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
127 HARRIET ST, SOUTH PORTLAND, ME 04106-2001
(207) 274-4431
Mailing address
127 HARRIET ST, SOUTH PORTLAND, ME 04106-2001
(207) 274-4431
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL5299
ME
Other
Enumeration date
10/21/2019
Last updated
08/09/2022
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