Individual
BENJAMIN BENNETT KEYES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.,ED.D.,LMHC
Contact information
Practice address
4625 E BAY DR, SUITE 301, CLEARWATER, FL 33764-5738
(727) 535-1181
(727) 535-9822
Mailing address
PO BOX 106, LARGO, FL 33764
(727) 535-1181
(727) 535-9822
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 1667
FL
Other
Enumeration date
06/24/2006
Last updated
07/08/2007
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