Individual
ANACELIA KEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, SUDPT
Contact information
Practice address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 330-9044
(360) 736-3139
Mailing address
6317 199TH WAY SW, ROCHESTER, WA 98579
(360) 515-6084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SC60791186
WA
104100000X
Social Worker
Primary
LW60993037
WA
Other
Enumeration date
11/21/2017
Last updated
07/22/2022
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