person
Mr. Marvin Theadore Keaton III, MA,LCMHCS,LCAS,CSI
Professional Counselor in Pleasant Garden, North Carolina
NPI 1942518048

Marvin Theadore Keaton III is a Professional Counselor based in Pleasant Garden, NC and is specialized in Professional. Marvin Theadore Keaton III practices in Pleasant Garden, NC and has the professional credentials of MA,LCMHCS,LCAS,CSI. The NPI Number for Marvin Theadore Keaton III is 1942518048 and holds a License No. LCAS-23799 (North Carolina).

The current practice location address for Marvin Theadore Keaton III is 6715 Hockett Country Ln, Pleasant Garden, NC and can be reached out via phone at 336-508-0714.

Location: 6715 Hockett Country Ln, Pleasant Garden, NC, 27313-8262
person
Provider Profile Details
NPI Number
1942518048
Provider Name
Marvin Theadore Keaton III
Credential
MA,LCMHCS,LCAS,CSI
Provider Entity Type
Individual
Gender
Male
Address
6715 Hockett Country Ln, Pleasant Garden, NC, 27313-8262
Phone Number
336-508-0714
Fax Number
Provider Enumeration Date
09/23/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6715 Hockett Country Ln
City
State
Zip
27313-8262
Phone Number
336-508-0714
Fax Number
person
Provider Business Mailing Address Details
Address
6715 Hockett Country Ln
City
State
Zip
27313-8262
Phone Number
336-508-0714
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
7790S (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCAS-23799 (North Carolina)
Definition
Definition to come...
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