Individual
ALICIA KEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
530 SOQUEL AVE, SANTA CRUZ, CA 95062-2301
(831) 426-7322
(832) 426-8301
Mailing address
530 SOQUEL AVE, SANTA CRUZ, CA 95062-2301
(831) 426-7322
(831) 426-8301
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
40847
CA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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