Justin Wade Keathley, LCSW Valid NPI

Individual provider · Clinical Social Worker · Jacksonville, AR

NPI

1750763678

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

7536-C (AR)

Sex

Male

Sole proprietor

No

Enumerated

2015-06-27

Last updated

2021-05-11