Individual
MS. ANDREA MICHELE KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, CEAP
Contact information
Practice address
PO BOX 53454, IRVINE, CA 92619-3454
(949) 650-2442
Mailing address
PO BOX 53454, IRVINE, CA 92619-3454
(949) 650-2442
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC45708
CA
171W00000X
Contractor
CEAP 028148
CA
Other
Enumeration date
06/08/2008
Last updated
10/31/2024
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