Individual
MICHAEL BOHMONT KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. MFT
Contact information
Practice address
633 E RAY RD STE 131, GILBERT, AZ 85296-4206
(480) 256-2999
Mailing address
633 E RAY RD STE 131, GILBERT, AZ 85296-4206
(480) 256-2999
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LAMFT-08017T
AZ
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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