Individual
BRIAN WILLIAM KEATING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
954 NORTH ST UNIT 308, BOULDER, CO 80304-3420
(720) 491-1522
Mailing address
5734 N 71ST ST, LONGMONT, CO 80503-8623
(703) 987-8658
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0014367
CO
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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