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Individual

MR. KEITH LAKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
11623 HIGHWAY 3630, ANNVILLE, KY 40402
(606) 364-3640
(606) 364-2534
Mailing address
11623 HIGHWAY 3630, ANNVILLE, KY 40402-8182
(606) 364-3640
(606) 364-2534

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0224
KY

Other

Enumeration date
12/31/2015
Last updated
12/31/2015
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