Provider Demographics
NPI:1326190307
Name:KEIPER, JEFFREY LYNN (MA LPC)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:LYNN
Last Name:KEIPER
Suffix:
Gender:M
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 MIDWAY DRIVE
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905-3827
Mailing Address - Country:US
Mailing Address - Phone:814-288-3234
Mailing Address - Fax:
Practice Address - Street 1:142 GAZEBO PARK
Practice Address - Street 2:THIRD FLOOR, SUITE 307
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15901-1810
Practice Address - Country:US
Practice Address - Phone:814-659-4629
Practice Address - Fax:814-539-8440
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001529101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor