| Gabrielle K Keenum Ma Lpc Pc | |
|
6309 Indiana Ave Ste D Lubbock TX 79413-5739 | |
| (806) 790-1327 | |
| (806) 863-3874 |
| Full Name | Gabrielle K Keenum Ma Lpc Pc |
|---|---|
| Speciality | Counselor |
| Location | 6309 Indiana Ave Ste D, Lubbock, Texas |
| Authorized Official Name and Position | Gabrielle K Keenum (OWNER/LPC) |
| Authorized Official Contact | 8067901327 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gabrielle K Keenum Ma Lpc Pc 6309 Indiana Ave Ste D Lubbock TX 79413-5739 Ph: (806) 790-1327 | Gabrielle K Keenum Ma Lpc Pc 6309 Indiana Ave Ste D Lubbock TX 79413-5739 Ph: (806) 790-1327 |
| NPI Number | 1003285321 |
|---|---|
| Provider Enumeration Date | 09/16/2015 |
| Last Update Date | 09/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003285321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 16235 (Texas) | Primary |
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