Provider Demographics
NPI:1659731859
Name:KEE-REES, JOSEPHINE ELIZABETH (DMIN, LMFT)
Entity type:Individual
Prefix:DR
First Name:JOSEPHINE
Middle Name:ELIZABETH
Last Name:KEE-REES
Suffix:
Gender:F
Credentials:DMIN, LMFT
Other - Prefix:MISS
Other - First Name:JOSEPHINE
Other - Middle Name:ELIZABETH
Other - Last Name:REES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1501 E. MOCKINGBIRD LANE
Mailing Address - Street 2:SUITE #275
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-2189
Mailing Address - Country:US
Mailing Address - Phone:361-575-4351
Mailing Address - Fax:361-575-1497
Practice Address - Street 1:1501 E. MOCKINGBIRD LN.
Practice Address - Street 2:SUITE #275
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-2189
Practice Address - Country:US
Practice Address - Phone:361-575-4351
Practice Address - Fax:361-575-1497
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-01
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202658101YP2500X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist