Individual provider · Type 1 NPI
Keisha Boston, BA
Mental Health Counselor · Indiana, PA
NPI number
1619202595
Active
Practice location
1380 Rte 286 Hwy E Ste 524
Indiana, PA 15701-1482
Mailing address
1380 Rt 286 Hwy #, 524
Indiana, PA 15701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1619202595
Keisha Boston, BA's National Provider Identifier is 1619202595, issued on Oct 9, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Indiana, PA. The record was last updated on Oct 9, 2009.