Mckeen, Agnes Kathleen

Mckeen, Agnes Kathleen is an individual health care provider with primary practice located at 500 Shae Park Rd , Montgomery AL 36117-3597. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mckeen, Agnes Kathleen can be contacted via phone (256) 701-5651.

Contact Information

Primary practice address
500 Shae Park Rd Montgomery AL 36117-3597
Phone: (256) 701-5651
Fax: (256) 429-9411
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2264 Alabama
Behavioral Health & Social Service Providers / Professional 101YP2500X 2264 Alabama

Profile Details

NPI number 1952346751
LBN Legal business name Mckeen, Agnes Kathleen
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Mar 6th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952346751 NPPES
Other S-836 THE ASSOCIATION FOR PLAY THERAPY, INC. REGISTERED PLAY THERAPIST AND SUPERVISOR
Other 206738 THE ASSOCIATION FOR PLAY THERAPY, INC. REGISTERED PLAY THERAPIST AND SUPERVISOR
Other 2264 THE ASSOCIATION FOR PLAY THERAPY, INC. REGISTERED PLAY THERAPIST AND SUPERVISOR

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