Individual
STEPHEN KEELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LPC
Contact information
Practice address
2304 E BURNSIDE ST, SUITE 202, PORTLAND, OR 97214-1677
(503) 228-9229
(503) 228-9558
Mailing address
2304 E BURNSIDE ST, SUITE 202, PORTLAND, OR 97214-1677
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2662
OR
Other
Enumeration date
08/03/2010
Last updated
01/02/2012
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