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Individual

MS. DEBRA JEAN KEIFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LMHC

Contact information

Practice address
300 W BROADWAY, SUITE 107, COUNCIL BLUFFS, IA 51503-9078
(712) 328-3700
Mailing address
2448 N 45TH AVE, OMAHA, NE 68104-4525
(712) 328-3700

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001160
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0487348
IA
05
1013490
IA
Enumeration date
10/16/2008
Last updated
10/16/2008
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