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Individual
MR. KEITH POCHE
Active
Individual
MR. KEITH POCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000684
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-22976
NC
1041C0700X
Clinical Social Worker
0904010643
VA
1041C0700X
Clinical Social Worker
Primary
C010128
NC
Other
Enumeration date
12/05/2006
Last updated
11/03/2025
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