Individual
MR. KEITH A MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
454 E MAIN ST, ABINGDON, VA 24210-3408
(276) 300-4422
(833) 276-0046
Mailing address
454 E MAIN ST, ABINGDON, VA 24210-3408
(276) 300-4422
(833) 276-0046
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011055
VA
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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