Individual
KRISTIE LYNNE KEASLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW MS/LPC
Contact information
Practice address
1600 W MAUD ST STE 2, POPLAR BLUFF, MO 63901-4726
(417) 860-3458
Mailing address
1600 W MAUD ST STE 2, POPLAR BLUFF, MO 63901-4726
(573) 872-4798
(573) 872-4797
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/27/2013
Last updated
04/13/2022
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