| Doctor Name: | GEORGIA R KEENAN |
| NPI Number: | 1295773091 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 1700 |
| Business Practice Address: | 212 S 11th Street Lacrosse, WI - 54601 |
| Business Phone Number: | 6087919555 |
| Business Fax Number: | 6087919432 |
| Mailing Address: | 700 West Avenue South, Attn Physician Services LACROSSE |
| State: | WI |
| Postal Code: | 54601 |
| Phone Number: | 6087914156 |
| Fax Number: | 6087919898 |
| NPI Enumeration Date: | 06/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |