Organization
MISTI KEEN, LMHC, CAP INC
Active
Organization
MISTI KEEN, LMHC, CAP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTI D KEEN LMHC, CAP (OWNER)
(850) 522-9719
Entity
Organization
Contact information
Practice address
105 JAZZ DR, PANAMA CITY, FL 32405-4906
(850) 522-9719
(850) 522-9718
Mailing address
105 JAZZ DR, PANAMA CITY, FL 32405-4906
(850) 522-9719
(850) 522-9718
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH11871
FL
Other
Enumeration date
11/16/2014
Last updated
11/16/2014
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