Provider Information for 1093325268
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Dr. KEITH AARON CATES Ph.D., LPC
Sex: Male
NPI: 1093325268
Last Updated: 2023-05-02
Certification Date: 2023-05-02
Certification Date: 2023-05-02
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1093325268 | ||||||||||||||
| Enumeration Date | 2020-08-03 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 903 W COLLEGE ST ENTERPRISE, AL 36330-2846 United States Phone: 334-722-0684 | Fax: | ||||||||||||||
| Primary Practice Address | 903 W COLLEGE ST ENTERPRISE, AL 36330-2846 United States Phone: 334-722-0684 | Fax: | ||||||||||||||
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