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Individual

JUSTIN KEENEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCC-S

Contact information

Practice address
107 TOMMY HENRICH DR NW, MASSILLON, OH 44647-5402
(330) 832-9582
(330) 833-7732
Mailing address
107 TOMMY HENRICH DR NW, MASSILLON, OH 44647-5402
(330) 832-9582
(330) 833-7732

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.2303315-SUPV
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0354586
OH
Enumeration date
04/18/2019
Last updated
02/07/2026
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