Individual provider · Type 1 NPI
Keith Lodge, M.S.ED
Addiction (Substance Use Disorder) Counselor · Butler, PA
NPI number
1104084714
Active
Practice location
353 N Duffy Rd
Butler, PA 16001-1138
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | PC005906 (PA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1104084714
Keith Lodge, M.S.ED's National Provider Identifier is 1104084714, issued on May 30, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Butler, PA. The record was last updated on Dec 3, 2025.