Individual
EDITH COWAN KEESECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC-A
Contact information
Practice address
2407 GRACE AVE # 20, NEW BERN, NC 28562-4416
(252) 670-5637
Mailing address
1565 NC HIGHWAY 306 N, GRANTSBORO, NC 28529-5873
(304) 997-5417
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A16393
NC
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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