Individual
KEEYANA GAYNELL MCLISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC,NCC
Contact information
Practice address
2008 21ST STREET ENSLEY, BIRMINGHAM, AL 35218-2963
(205) 224-4387
(205) 968-1461
Mailing address
5292 CROWNE CHASE PKWY, HOOVER, AL 35244-3017
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC05046
AL
101YP2500X
Professional Counselor
Primary
LPC05046
AL
Other
Enumeration date
01/07/2019
Last updated
11/01/2023
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