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Jonathan Latrell Keitt
Peer Specialist in Gastonia, North Carolina
NPI 1245094531

Jonathan Latrell Keitt is a Peer Specialist based in Charlotte, NC. Jonathan Latrell Keitt practices in Gastonia, NC. The NPI Number for Jonathan Latrell Keitt is 1245094531 and holds a License No. M2024-11283-01 (North Carolina).

The current practice location address for Jonathan Latrell Keitt is 2020 Remount Rd Ste E112, Gastonia, NC and can be reached out via phone at 704-451-3878.

Location: 2020 Remount Rd Ste E112, Gastonia, NC, 28262-1586
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245094531
Provider Name
Jonathan Latrell Keitt
Credential
Provider Entity Type
Individual
Gender
Male
Address
2020 Remount Rd Ste E112, Gastonia, NC, 28262-1586
Phone Number
704-451-3878
Fax Number
Provider Enumeration Date
02/08/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2020 Remount Rd Ste E112
City
Gastonia
State
North Carolina
Zip
28054-7476
Phone Number
704-451-3878
Fax Number
person
Provider Business Mailing Address Details
Address
2020 Remount Rd Ste E112
City
Gastonia
State
North Carolina
Zip
28054-7476
Phone Number
704-451-3878
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
M2024-11283-01 (North Carolina)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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