person
Mr. Keith Lodge, MSED
Addiction (Substance Use Disorder) Counselor in Butler, Pennsylvania
NPI 1104084714

Keith Lodge is an Addiction (Substance Use Disorder) Counselor based in Wexford, PA and is specialized in Addiction (Substance Use Disorder). Keith Lodge practices in Butler, PA and has the professional credentials of MSED. The NPI Number for Keith Lodge is 1104084714 and holds a License No. 25 400 761 (Pennsylvania).

The current practice location address for Keith Lodge is 1 Hospital Way, Butler, PA and can be reached out via phone at 724-284-4275. You can also correspond with Keith Lodge through the mailing address at 10164 SUDBERRY DR, WEXFORD, PA - 15090-9576 (mailing address contact number: 724-284-4275).

Location: 1 Hospital Way, Butler, PA, 15090-9576
person
Provider Profile Details
NPI Number
1104084714
Provider Name
Keith Lodge
Credential
MSED
Provider Entity Type
Individual
Gender
Male
Address
1 Hospital Way, Butler, PA, 15090-9576
Phone Number
724-284-4275
Fax Number
Provider Enumeration Date
05/30/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Hospital Way
City
State
Zip
16001-4670
Phone Number
724-284-4275
Fax Number
person
Provider Business Mailing Address Details
Address
1 Hospital Way
City
State
Zip
16001-4670
Phone Number
724-284-4275
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
25 400 761 (Pennsylvania)
Definition
Definition to come...
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