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Individual
NATHANIEL DAVID KEYSE
Active
Individual
NATHANIEL DAVID KEYSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC, LICDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.161449
OH
101YM0800X
Mental Health Counselor
E.1800700
OH
101YP2500X
Professional Counselor
Primary
E.1800700
OH
Other
Enumeration date
06/18/2018
Last updated
01/15/2019
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