Individual
NANCY ELISE KEETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
10259 W LANDMARK CT, BOISE, ID 83704-5483
(208) 794-5349
(208) 375-0265
Mailing address
10259 W LANDMARK CT, BOISE, ID 83704-5483
(208) 375-0265
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC287
ID
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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