Mowery, Keith Robert
Mowery, Keith Robert is an individual health care provider with primary practice located at 2480 Llewellyn Ave , Fort Meade MD 20755-7081. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mowery, Keith Robert can be contacted via phone (301) 677-8895.Contact Information
Primary practice address
2480 Llewellyn Ave
Fort Meade MD 20755-7081
Phone: (301) 677-8895
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 8486 | Pennsylvania |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW017976 | Pennsylvania |
Profile Details
| NPI number | 1083046536 |
|---|---|
| LBN Legal business name | Mowery, Keith Robert |
| Credentials | LCSW, CAADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2013 |
| Last updated | Mar 17th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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