Provider Demographics
NPI:1558800292
Name:KEELAN, MARKIE
Entity Type:Individual
Prefix:
First Name:MARKIE
Middle Name:
Last Name:KEELAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4550 E CHERRY CREEK SOUTH DR
Mailing Address - Street 2:1005
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1554
Mailing Address - Country:US
Mailing Address - Phone:805-407-8450
Mailing Address - Fax:
Practice Address - Street 1:4550 E CHERRY CREEK SOUTH DR
Practice Address - Street 2:1005
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1554
Practice Address - Country:US
Practice Address - Phone:805-407-8450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor