Individual
KEELY IMBODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 N ILLINOIS ST STE B, HARRISBURG, AR 72432-3023
(870) 931-8412
Mailing address
1103 N ILLINOIS ST STE B, HARRISBURG, AR 72432-3023
(870) 931-8412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A2208025
AR
101YP2500X
Professional Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/14/2022
Last updated
05/20/2025
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