Individual provider · Type 1 NPI

Brandon Keene

Professional Counselor · Leesburg, VA

NPI number 1104283126 Active

Practice location

102 Heritage Way NE, Suite 302
Leesburg, VA 20176-4544

Fax (703) 777-0170

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1104283126

Brandon Keene's National Provider Identifier is 1104283126, issued on Jan 21, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Leesburg, VA. The record was last updated on Jan 21, 2016.