Individual
MRS. AGNES KATHLEEN MCKEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
500 SHAE PARK RD, MONTGOMERY, AL 36117-3597
(256) 701-5651
(256) 429-9411
Mailing address
600 SUN TEMPLE DR, MADISON, AL 35758-8643
(256) 975-4291
(256) 429-9411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2264
AL
101YP2500X
Professional Counselor
Primary
2264
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206738
NATIONAL BOARD FOR CERTIFIED COUNSELORS, INC.
—
01
—
2264
THE BOARD OF EXAMINERS IN COUNSELING STATE OF ALABAMA-LICENSE
AL
01
—
S-836
THE ASSOCIATION FOR PLAY THERAPY, INC. REGISTERED PLAY THERAPIST AND SUPERVISOR
—
Enumeration date
06/17/2006
Last updated
03/06/2024
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