Keith Hackett, L.M.T

NPI 1447704663 · on the registry since 2016

Practice

Address: 514 28 1/4 Rd Unit 4
Grand Junction, CO 81501
Phone: (970) 644-5255
Organisation at this address: Aviv Enterprises Inc
Aviv Enterprises Inc
The Fork Counseling Llc
Life Updated Counseling
Aviv Grand Junction, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 38

Registry record

Primary taxonomy: 225700000X
225700000X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-08-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado