Kimly Keeton, LCSW, LCAC

NPI #1548650930 in La Porte, Indiana

Provider Information

NPI Number: 1548650930
Entity Type: Individual
Name: Kimly Keeton, LCSW, LCAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW, LCAC
Enumeration Date: Jan 23, 2015
Last Updated: Mar 3, 2016

Practice Location

Address: 809 JEFFERSON AVE
City: La Porte
State: Indiana
ZIP Code: 46350-3431
Phone: (219) 898-5646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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