Individual
JASON MARK KEEZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, LAC
Contact information
Practice address
200 MAINE ST STE A, LAWRENCE, KS 66044
(785) 843-9192
Mailing address
1400 KENTUCKY ST, LAWRENCE, KS 66044-3488
(785) 760-2368
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
960
KS
1041C0700X
Clinical Social Worker
Primary
4368
KS
Other
Enumeration date
07/05/2013
Last updated
06/12/2019
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