Individual
KEENAN MICHAEL STORBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHT
Contact information
Practice address
811 MADISON ST, EVERETT, WA 98203-4543
(425) 212-4200
(425) 212-4220
Mailing address
PO BOX 2569, EVERETT, WA 98213-0569
(425) 212-4200
(425) 212-4220
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
06/16/2022
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