Individual provider · Type 1 NPI

Keith David Larsen

Peer Specialist · Canon City, CO

NPI number 1679092167 Active

Practice location

3239 Independence Rd
Canon City, CO 81212-9380

Call (719) 275-7650 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

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.

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About NPI 1679092167

Keith David Larsen's National Provider Identifier is 1679092167, issued on Sep 15, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Canon City, CO. The record was last updated on Sep 15, 2017.