Keith Tibbetts's National Provider Identifier (NPI) Details
Keith Tibbetts, LCPC
NPI: 1285983262
Enumeration Date: 2012-09-05
Last updated: 2024-06-27
Sole Proprietor: YES
Status: active
Postal Address: 50 EMERALD DRIVE, HAMPDEN, ME
Phone: 207-307-4505
Primary Practice Address: 50 EMERALD DRIVE, HAMPDEN, ME
Practice's phone: 207-307-4505