Individual
COLLIN ROSS KEATING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSWAIC, MHP, CPC
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60551404
WA
Other
Enumeration date
11/06/2018
Last updated
03/12/2021
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