Individual
GEORGE KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1695 SUNSET AVE, FAIRFIELD, CA 94533-4255
(707) 557-8975
Mailing address
1695 SUNSET AVE, FAIRFIELD, CA 94533-4255
(707) 648-8121
(707) 648-8129
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
225700000X
Massage Therapist
33714
CA
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
02/28/2014
Last updated
06/11/2026
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