Individual
GEORGE LOUIS KEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 MAIN ST, BAKER, LA 70714-3767
(225) 778-6783
Mailing address
350 MAIN ST, BAKER, LA 70714-3767
(225) 778-6783
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
LA
05
—
000000000000000
—
LA
Enumeration date
10/30/2017
Last updated
06/16/2018
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