Individual provider · Type 1 NPI

David Stephan Keitel

Mental Health Counselor · Gold Beach, OR

NPI number 1134725906 Active

Practice location

29413 Russell St
Gold Beach, OR 97444-7748

Fax (541) 247-6549

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Other practice locations

  • 210 Cove Rd, Brookings, OR 97415-2520 · (541) 469-0222

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1134725906

David Stephan Keitel's National Provider Identifier is 1134725906, issued on Dec 8, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gold Beach, OR. The record was last updated on Feb 17, 2021.