Individual
MR. KEITH ANTHONY VUKASINOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
201 W FRANKLIN ST STE B, CENTERVILLE, OH 45459-4700
(937) 672-1424
(937) 971-4529
Mailing address
4130 LINDEN AVE, SUITE 309, DAYTON, OH 45437
(937) 254-7301
(937) 254-2117
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E 3246
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0217212
—
OH
Enumeration date
07/21/2006
Last updated
04/11/2025
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