Individual provider · Type 1 NPI

Keith Hageman, LPC

Professional Counselor · Casper, WY

NPI number 1629779012 Active

Practice location

5000 Blackmore Rd
Casper, WY 82609-3345

Fax (307) 233-6089

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-2336 (WY)

Professional Counselor: Definition to come...

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About NPI 1629779012

Keith Hageman, LPC's National Provider Identifier is 1629779012, issued on Mar 13, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Casper, WY. The record was last updated on Aug 28, 2024.