Individual
MS. DEBRA LEE ST.CHARLES-KEELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1307 E ELM ST, ATHENS, AL 35611-5318
(256) 355-6091
Mailing address
1316 SOMERVILLE RD SE, SUITE 1, DECATUR, AL 35601-4305
(256) 355-6105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1474C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-18162
BC/BS
AL
01
—
515-32501
NAMCI /BC/BS
AL
Enumeration date
11/01/2006
Last updated
03/29/2010
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