Individual
KAITLYN OGDEN KEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, CSAC-S
Contact information
Practice address
111 TOWN HOLLOW RD, CEDAR BLUFF, VA 24609-9622
(276) 284-2596
Mailing address
131 PINE ST, POUNDING MILL, VA 24637-4126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0709025471
VA
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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