Individual
MR. KEANAN NAEGELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PPS
Contact information
Practice address
501 SEQUOIA ST, MORRO BAY, CA 93442-1453
(541) 788-6501
Mailing address
501 SEQUOIA ST, MORRO BAY, CA 93442-1453
(541) 788-6501
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
220178681
CA
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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