Individual
MR. JOHNATHAN L KEEFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1959 N. PEACE HAVEN ROAD, SUITE 274, WINSTON-SALEM, NC 27106
(336) 577-0469
(704) 939-1173
Mailing address
1959 N. PEACE HAVEN ROAD, SUITE 274, WINSTON-SALEM, NC 27106
(336) 577-0469
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8138
NC
101Y00000X
Counselor
—
—
Other
Enumeration date
10/31/2012
Last updated
03/28/2025
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