Individual
ELIZABETH C KEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
14741 KATY RD, HOPKINS, MO 64461-7201
(660) 620-1121
Mailing address
PO BOX 553, MARYVILLE, MO 64468-0553
(660) 620-1121
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2004032594
MO
Other
Enumeration date
11/21/2007
Last updated
11/21/2007
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