Individual
KEIERA PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
6708 TAYLOR CIR, MONTGOMERY, AL 36117-3411
(334) 356-0369
Mailing address
4031 SAMANTHA DR, MONTGOMERY, AL 36109-1648
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3502
AL
Other
Enumeration date
05/22/2020
Last updated
10/19/2022
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