Individual provider · Type 1 NPI
Edith Cowan Keesecker, LCMHC-A
Mental Health Counselor · New Bern, NC
NPI number
1891380119
Active
Practice location
2407 Grace Ave # 20
New Bern, NC 28562-4416
Mailing address
1565 Nc Highway 306 N
Grantsboro, NC 28529-5873
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | A16393 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1891380119
Edith Cowan Keesecker, LCMHC-A's National Provider Identifier is 1891380119, issued on Mar 8, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New Bern, NC. The record was last updated on Mar 8, 2021.