Individual provider · Type 1 NPI
Stacey Keane, LPC
Professional Counselor · Phoenix, AZ
NPI number
1154083442
Active
Practice location
11225 N 28th Dr Ste D115H
Phoenix, AZ 85029-5609
Mailing address
4222 W Hearn Rd
Phoenix, AZ 85053-5333
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-20350 (AZ) |
Professional Counselor: Definition to come...
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About NPI 1154083442
Stacey Keane, LPC's National Provider Identifier is 1154083442, issued on Oct 13, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 13, 2021.