Individual
KEITH HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2140 UPPER WETUMPKA RD, MONTGOMERY, AL 36107-1342
(334) 279-7830
Mailing address
PO BOX 3223, MONTGOMERY, AL 36109-0223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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