Keith David Larsen is a peer specialist in Canon City, CO. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Keith David Larsen NPI is 1679092167. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3239 INDEPENDENCE RD
CANON CITY, CO
ZIP 81212-380
Phone: (719) 275-7650
The enumeration date for this NPI number is 9/15/2017 and was last updated on 9/15/2017.