Basic Information
| Provider Information | |||||||||
| NPI: | 1730243817 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KEESLER | ||||||||
| FirstName: | JEANNE | ||||||||
| MiddleName: | PETILLO | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | L.C.S.W. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 445 BILTMORE AVE | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288014530 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8282534262 | ||||||||
| FaxNumber: | 8282521237 | ||||||||
| Practice Location | |||||||||
| Address1: | 445 BILTMORE AVE | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288014530 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8282534262 | ||||||||
| FaxNumber: | 8282521237 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/21/2006 | ||||||||
| LastUpdateDate: | 08/06/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | C001822 | NC | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.