Individual
ELISABETH P. KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA MFT LMFT
Contact information
Practice address
49 SCHOOL STREET, HARTFORD, VT 05047-0709
(802) 295-3031
(802) 295-0820
Mailing address
390 RIVER STREET, SPRINGFIELD, VT 05156-2226
(802) 886-4500
(802) 886-4560
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
097.0120266
VT
106H00000X
Marriage & Family Therapist
Primary
100.0128501
VT
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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