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Individual

ASHLEY KEEFOVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT-T

Contact information

Practice address
1525 N BUCKNER ST, DERBY, KS 67037-2948
(316) 788-6464
(206) 299-1262
Mailing address
1525 N BUCKNER ST, DERBY, KS 67037-2948
(316) 788-6464
(206) 299-1262

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
522
KS
101YP2500X
Professional Counselor
Primary
04055
KS

Other

Enumeration date
05/22/2022
Last updated
06/07/2022
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