Individual provider · Type 1 NPI

Keith D. Jodway, LMHC, LCAC

Mental Health Counselor · Goshen, IN

NPI number 1912949413 Active

Practice location

209 Tanglewood Dr Apt C
Goshen, IN 46526-1718

Call (574) 220-0220 Map

Fax (574) 975-7788

Mailing address

211 E Washington St
Goshen, IN 46528-3322

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X00228 (IN)
Mental Health Counselor Primary 101YM0800X39001485A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1912949413

Keith D. Jodway, LMHC, LCAC's National Provider Identifier is 1912949413, issued on Jun 11, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Goshen, IN. The record was last updated on May 14, 2019.