Provider Demographics
NPI:1093047284
Name:KIEFFER, LOUIS JAY (LPC)
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:JAY
Last Name:KIEFFER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17308 CEDARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-6776
Mailing Address - Country:US
Mailing Address - Phone:580-320-6888
Mailing Address - Fax:
Practice Address - Street 1:17308 CEDARWOOD DR
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73012-6776
Practice Address - Country:US
Practice Address - Phone:580-320-6888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional