Individual
KEITH TERENCE GOSTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3601 LOCUST CT, QUINTON, VA 23141-1577
(804) 932-8170
(804) 520-8007
Mailing address
3601 LOCUST CT, QUINTON, VA 23141-1577
(804) 932-8170
(804) 520-8007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002481
VA
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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