Individual
ANDREW J KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPA, M.ED, LPCC
Contact information
Practice address
149 ENTERPRISE DR, SOMERSET, KY 42501-6155
(606) 679-6995
(606) 451-9465
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
(419) 695-8010
(419) 695-0004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
280398
KY
101YP2500X
Professional Counselor
265747
KY
101YP2500X
Professional Counselor
280398
KY
Other
Enumeration date
10/23/2019
Last updated
02/29/2024
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