Individual
SPENCER O'KEEFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
107 HORTON AVE, MERIDEN, CT 06450-6014
(203) 631-5597
Mailing address
107 HORTON AVE, MERIDEN, CT 06450-6014
(203) 631-5597
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3252
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008068631
—
CT
05
—
008068669
—
CT
05
—
008075035
—
CT
Enumeration date
08/23/2017
Last updated
07/19/2021
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