NPI 1265670327

Charles R Keinath

Practitioner Addiction (Substance Use Disorder) Counselor Berlin, VT

Practice location

Address: 80247 91759 Airport Rd, Berlin, VT 05602
Phone: (802) 479-1759
Mailing address: 614 Higuera Rd, Barre, VT 05641-9601

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 000011 (VT)

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Registry record

NPI: 1265670327
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jan 2009
Record last updated: 28 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.