| Doctor Name: | MR. KEITH POYNTER |
| NPI Number: | 1003065053 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | LH60067868 |
| Business Practice Address: | 2530 Kwina Rd Bellingham, WA - 982269278 |
| Business Phone Number: | 3603842330 |
| Business Fax Number: | 3603843218 |
| Mailing Address: | 2530 Kwina Rd, BELLINGHAM |
| State: | WA |
| Postal Code: | 982269278 |
| Phone Number: | 3603842330 |
| Fax Number: | 3603843218 |
| NPI Enumeration Date: | 09/15/2008 |
| NPI Last Update Date: | 11/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH60067868 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |