Organization
DEBBIE SIMMS-KEENEY MFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PONEVA HAMLIN MA (MARRIAGE FAMILY THERAPIST INTERN)
(415) 710-2126
Entity
Organization
Contact information
Practice address
8336 BRENTWOOD BLVD, BRENTWOOD, CA 94513-1113
(415) 710-2126
Mailing address
8336 BRENTWOOD BLVD, BRENTWOOD, CA 94509
(415) 710-2126
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
A6412408
CA
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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