Individual
ANEH KEOVILAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1646 S COURT ST, VISALIA, CA 93277-4962
(559) 625-8890
Mailing address
1646 S COURT ST, VISALIA, CA 93277-4962
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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