person
Keith David Larsen
Peer Specialist in Canon City, Colorado
NPI 1679092167

Keith David Larsen is a Peer Specialist based in Canon City, CO. Keith David Larsen practices in Canon City, CO. The NPI Number for Keith David Larsen is 1679092167 and holds a License No. (Colorado).

The current practice location address for Keith David Larsen is 3239 Independence Rd, Canon City, CO and can be reached out via phone at 719-275-7650.

Location: 3239 Independence Rd, Canon City, CO, 81212-9380
person
Provider Profile Details
NPI Number
1679092167
Provider Name
Keith David Larsen
Credential
Provider Entity Type
Individual
Gender
Male
Address
3239 Independence Rd, Canon City, CO, 81212-9380
Phone Number
719-275-7650
Fax Number
Provider Enumeration Date
09/15/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3239 Independence Rd
City
State
Zip
81212-9380
Phone Number
719-275-7650
Fax Number
person
Provider Business Mailing Address Details
Address
3239 Independence Rd
City
State
Zip
81212-9380
Phone Number
719-275-7650
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
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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