Individual
MR. KEITH K. KOONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC
Contact information
Practice address
7095 ROUTE 287, WELLSBORO, PA 16901-6711
(570) 724-5272
(570) 724-4512
Mailing address
7095 ROUTE 287, WELLSBORO, PA 16901-6711
(570) 724-5272
(570) 724-4512
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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