Individual provider · Type 1 NPI

Alice L. Keener

Mental Health Counselor · Russellville, AR

NPI number 1689945958 Active

Practice location

110 Skyline Dr
Russellville, AR 72801-3362

Fax (479) 890-5364

Mailing address

350 Salem Rd, Suite 1
Conway, AR 72034-7525

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1689945958

Alice L. Keener's National Provider Identifier is 1689945958, issued on Jan 19, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Russellville, AR. The record was last updated on Jan 19, 2012.