Individual provider · Type 1 NPI
Mary Elizabeth Keathley
Professional Counselor · Wortham, TX
NPI number
1992566053
Active
Practice location
2977 Lcr 244
Wortham, TX 76693
Mailing address
PO Box 254
Wortham, TX 76693-0254
Other practice locations
- 100B W Reunion St, Fairfield, TX 75840-1835 · (903) 484-6501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 93796 (TX) |
Professional Counselor: Definition to come...
About NPI 1992566053
Mary Elizabeth Keathley's National Provider Identifier is 1992566053, issued on Jan 17, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wortham, TX. The record was last updated on Jan 17, 2024.