Individual provider · Type 1 NPI
Marvin Theadore Keaton Iii, MA, LCMHCS, LCAS, CSI
Professional Counselor · Pleasant Garden, NC
NPI number
1942518048
Active
Practice location
6715 Hockett Country Ln
Pleasant Garden, NC 27313-8262
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-23799 (NC) |
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | 7790S (NC) |
Professional Counselor: Definition to come...
Another provider at this address
About NPI 1942518048
Marvin Theadore Keaton Iii, MA, LCMHCS, LCAS, CSI's National Provider Identifier is 1942518048, issued on Sep 23, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pleasant Garden, NC. The record was last updated on May 25, 2021.