Provider Demographics
NPI:1790873396
Name:KEELIN, CECELIA BETH (LPC)
Entity Type:Individual
Prefix:
First Name:CECELIA
Middle Name:BETH
Last Name:KEELIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1880 SOUTH PIERCE STREET UNIT 7
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-7143
Mailing Address - Country:US
Mailing Address - Phone:303-908-8677
Mailing Address - Fax:
Practice Address - Street 1:1880 S PIERCE ST STE 7
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-7143
Practice Address - Country:US
Practice Address - Phone:303-908-8677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2993101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional