Individual
MS. SUSAN ANN KEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
33 E NORTHAMPTON ST, WILKES BARRE, PA 18701-2406
(570) 829-3489
(570) 829-7781
Mailing address
33 E NORTHAMPTON ST, WILKES BARRE, PA 18701-2406
(570) 829-3489
(570) 829-7781
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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