Individual
MR. KEITH STAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
1485 S COUNTY TRL UNIT 107, EAST GREENWICH, RI 02818-1771
(401) 785-0040
Mailing address
1301 GALVIN RD S APT 208, BELLEVUE, NE 68005-3714
(402) 860-3405
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
MHC01198
RI
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/27/2011
Last updated
04/17/2026
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