Individual
WENDY LEA KEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
486 12TH ST, ASTORIA, OR 97103-4122
(503) 325-5722
Mailing address
65 N HIGHWAY 101 STE 204, WARRENTON, OR 97146-9371
(503) 325-5722
(503) 861-2043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911585652
—
WA
Enumeration date
11/09/2017
Last updated
11/30/2021
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