Individual
DEMI KEITEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCPC
Contact information
Practice address
3990 PLEASANT VIEW DR NE, KEIZER, OR 97303-4030
(503) 602-1007
(503) 994-1692
Mailing address
3990 PLEASANT VIEW DR NE, KEIZER, OR 97303-4030
(503) 602-1007
(503) 994-1692
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C5592
OR
101YM0800X
Mental Health Counselor
CC6499
ME
Other
Enumeration date
02/24/2020
Last updated
01/18/2022
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