Individual
KEITH LEWIS SHAWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
500 E CHESTNUT AVE, ALTOONA, PA 16601-5215
(800) 445-6262
Mailing address
1540 DECKER COURT LN, ALTOONA, PA 16601-8854
(814) 327-9497
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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