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NPI Code Detail

MEDICARE: COURTNEY CHEWNING KEESEE LPC

MEDICARE: COURTNEY CHEWNING KEESEE LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor8006NC

General Provider Information

NPI Number : 1245541416
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY CHEWNING KEESEE LPC
Provider Business Mailing Address
First Line : 2503 WAYNE MEMORIAL DR
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-9401
Country : US
Telephone Number : 919-738-3910
Fax Number :
Provider Business Practice Location Address
First Line : 2503 WAYNE MEMORIAL DR
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-9401
Country : US
Telephone Number : 919-734-1311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2010
Last Update Date : 11/30/2020

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Directions to “ COURTNEY CHEWNING KEESEE LPC” Practice Location

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