Individual
KEITH A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5350 N ACADEMY BLVD, COLORADO SPRINGS, CO 80918-4098
(719) 433-1321
Mailing address
5350 N ACADEMY BLVD, COLORADO SPRINGS, CO 80918-4098
(719) 433-1321
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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