Individual provider · Type 1 NPI

Logan Keville

Professional Counselor · Colorado Springs, CO

NPI number 1659879781 Active

Practice location

1283 Kelly Johnson Blvd
Colorado Springs, CO 80920-3925

Call (719) 452-4803 Map

Mailing address

10704 Ridgepole Dr
Colorado Springs, CO 80925-1405

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC.0019071 (CO)

Professional Counselor: Definition to come...

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About NPI 1659879781

Logan Keville's National Provider Identifier is 1659879781, issued on Jan 23, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Colorado Springs, CO. The record was last updated on Oct 19, 2023.