person
Mr. Keith Anthony Vukasinovich, LPCC
Mental Health Counselor in Dayton, Ohio
NPI 1982625208

Keith Anthony Vukasinovich is a Mental Health Counselor based in Dayton, OH and is specialized in Mental Health. Keith Anthony Vukasinovich practices in Dayton, OH and has the professional credentials of LPCC. The NPI Number for Keith Anthony Vukasinovich is 1982625208 and holds a License No. E 3246 (Ohio).

The current practice location address for Keith Anthony Vukasinovich is 4130 Linden Ave, Dayton, OH and can be reached out via phone at 937-254-7301 and via fax at 937-254-2117. You can also correspond with Keith Anthony Vukasinovich through the mailing address at 4130 LINDEN AVE, DAYTON, OH - 45437 (mailing address contact number: 937-254-7301).

Location: 4130 Linden Ave, Dayton, OH, 45437
person
Provider Profile Details
NPI Number
1982625208
Provider Name
Keith Anthony Vukasinovich
Credential
LPCC
Provider Entity Type
Individual
Gender
Male
Address
4130 Linden Ave, Dayton, OH, 45437
Phone Number
937-254-7301
Fax Number
937-254-2117
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
310734113 01 OH UBH
310734113 01 OH TAX I.D.
MC0713 05 OH
institution
Provider Business Practice Location Address Details
Address
4130 Linden Ave
City
State
Zip
45437
Phone Number
937-254-7301
Fax Number
937-254-2117
person
Provider Business Mailing Address Details
Address
4130 Linden Ave
City
State
Zip
45437
Phone Number
937-254-7301
Fax Number
937-254-2117
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
E 3246 (Ohio)
Definition
Definition to come...
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