Doctor Name: | DEBORAH ANN CARTER-KEYES |
NPI Number: | 1508150780 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | CC2058 |
Business Practice Address: | 37 Brunswick Ave Suite 1 Gardiner, ME - 043452154 |
Business Phone Number: | 2075882000 |
Business Fax Number: | 2075882000 |
Mailing Address: | 37 Brunswick Ave, Suite 1 GARDINER |
State: | ME |
Postal Code: | 043452154 |
Phone Number: | 2075882000 |
Fax Number: | 2075882000 |
NPI Enumeration Date: | 06/05/2011 |
NPI Last Update Date: | 06/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | CC2058 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |