# MR. KEITH A. SEALS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1871140590
- **Gender:** Man
- **Credential:** BS, SUDP, AAC, CPC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | CG60997138 | WA | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CP000006387 | WA | Yes |

## Other

- **Enumeration date:** 08/19/2019
- **Last updated:** 11/17/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2140749 | — | WA |