Individual
MALCOLM KEETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1909 HUGUENOT RD STE 202, NORTH CHESTERFIELD, VA 23235-4314
(795) 280-4350
(866) 330-1467
Mailing address
4125 RALPH RD, SOUTH CHESTERFIELD, VA 23803-2524
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701012883
VA
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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