Provider Demographics
NPI:1588775597
Name:KEEBLER, DAVID CLAY (MA, LPC)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:CLAY
Last Name:KEEBLER
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3906 LEMMON AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-3734
Mailing Address - Country:US
Mailing Address - Phone:214-520-8970
Mailing Address - Fax:214-520-8980
Practice Address - Street 1:3906 LEMMON AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-3734
Practice Address - Country:US
Practice Address - Phone:214-520-8970
Practice Address - Fax:214-520-8980
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16902101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health