Individual
MR. KEITH LODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.ED
Contact information
Practice address
353 N DUFFY RD, BUTLER, PA 16001-1138
(878) 271-6546
Mailing address
353 N DUFFY RD, BUTLER, PA 16001-1138
(878) 271-6546
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PC005906
PA
Other
Enumeration date
05/30/2008
Last updated
12/03/2025
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