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Individual

MR. GEREMY F. KEETON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.MFT, LMFT

Contact information

Practice address
2050 BRAMBLWOOD LN, COLORADO SPRINGS, CO 80920-1588
(719) 310-2995
Mailing address
2050 BRAMBLWOOD LN, COLORADO SPRINGS, CO 80920-1588
(719) 310-2995

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
TX
106H00000X
Marriage & Family Therapist
724
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27-4224058
GK COUNSELING & THERAPEUTIC SERVICES, LLC (REGISTERED IN COLORADO)
CO
Enumeration date
08/29/2011
Last updated
08/29/2011
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