Individual
MR. KEITH ROGER EMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
301 CIRCLE OF PROGRESS DR, POTTSTOWN, PA 19464-3811
(610) 970-5410
Mailing address
301 CIRCLE OF PROGRESS DR, POTTSTOWN, PA 19464-3811
(610) 970-5410
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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