Individual
DR. KEITH HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
426 E FOURTH PLAIN BLVD, #11, VANCOUVER, WA 98663-3040
(360) 696-1615
(360) 696-2395
Mailing address
5001 NW COLUMBIA ST, VANCOUVER, WA 98663-1621
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00001437
WA
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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