Individual provider · Type 1 NPI
Jonathan Latrell Keitt
Peer Specialist · Gastonia, NC
NPI number
1245094531
Active
Practice location
2020 Remount Rd Ste E112
Gastonia, NC 28054-7476
Mailing address
12109 Prails Mill Ln
Charlotte, NC 28262-1586
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | M2024-11283-01 (NC) |
Peer Specialist: 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.
Other peer specialist providers in Gastonia
About NPI 1245094531
Jonathan Latrell Keitt's National Provider Identifier is 1245094531, issued on Feb 8, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Gastonia, NC. The record was last updated on Feb 8, 2024.