# KEANE MINDS THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114812609
- **Authorized official:** JESSICA KEANE (OWNER)
- **Authorized official phone:** (858) 324-6322

## Contact information

- **Practice address:** 16935 W BERNARDO DR STE 106, SAN DIEGO, CA 92127-1636
- **Practice address phone:** (858) 324-6322
- **Mailing address:** 1637 E VALLEY PKWY \# 2017, ESCONDIDO, CA 92027-2408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2025
- **Last updated:** 06/12/2025