Individual
MR. KEITH CARNAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, NCC, CAC II
Contact information
Practice address
24 9TH AVE, LONGMONT, CO 80501-4575
(303) 772-3853
Mailing address
24 9TH AVE UNIT B, LONGMONT, CO 80501-4575
(303) 772-3853
(303) 484-5417
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB.0008255
CO
101YM0800X
Mental Health Counselor
NLC.0105138
CO
Other
Enumeration date
09/16/2015
Last updated
05/07/2018
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