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Organization
KEATON COMMUNITY SERVICES PLLC
Active
Organization
KEATON COMMUNITY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN T KEATON LPC (PRESIDENT)
(336) 508-0714
Entity
Organization
Contact information
Practice address
6715 HOCKETT COUNTRY LN, PLEASANT GARDEN, NC 27313-8262
(336) 508-0714
(336) 217-8847
Mailing address
6715 HOCKETT COUNTRY LN, PLEASANT GARDEN, NC 27313-8262
(336) 508-0714
(336) 217-8847
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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