Individual
GREGORY R KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
6949 GOOD SAMARITAN DR, CINCINNATI, OH 45247-5204
(513) 931-2400
(513) 931-0132
Mailing address
6949 GOOD SAMARITAN DR, CINCINNATI, OH 45247-5204
(513) 931-2400
(513) 931-0132
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E.1300112-SUPV
OH
101YP2500X
Professional Counselor
Primary
E.1300112-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0189216
—
OH
Enumeration date
08/01/2016
Last updated
03/13/2025
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