Kristie Lynne Keasler, BSW MS/LPC
Counselor in Poplar Bluff, MO. Individual provider (NPI-1).
NPI number1811328958
StatusActive
Last updated in NPPESApr 13, 2022
Details
- NPI
- 1811328958
- Entity type
- Individual (NPI-1)
- Name
- Kristie Lynne Keasler
- Credential
- BSW MS/LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 27, 2013
- Certification date
- Apr 13, 2022
- Last updated
- Apr 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
1600 W Maud St Ste 2Poplar Bluff, MO 63901-4726
Phone 417-860-3458
Mailing address
1600 W Maud St Ste 2Poplar Bluff, MO 63901-4726
Phone 573-872-4798 · Fax 573-872-4797
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All 15 Counselor providers in Poplar Bluff · All 1,814 providers in Poplar Bluff
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