Provider Demographics
NPI:1821765348
Name:OLIVER, KESHAUN BRIANA (MFT-I)
Entity Type:Individual
Prefix:MRS
First Name:KESHAUN
Middle Name:BRIANA
Last Name:OLIVER
Suffix:
Gender:F
Credentials:MFT-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9600 GROVETON CIR APT T07
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-8327
Mailing Address - Country:US
Mailing Address - Phone:301-281-7910
Mailing Address - Fax:
Practice Address - Street 1:11720 BELTSVILLE DR STE 500-A4
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-3166
Practice Address - Country:US
Practice Address - Phone:240-755-8089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist