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Individual

GEORGE KEENAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
225 AVIAN DR APT B, VALLEJO, CA 94591-4976
(707) 557-8975
Mailing address
908 TUOLUMNE ST, VALLEJO, CA 94590-4641
(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

Other

Enumeration date
02/28/2014
Last updated
02/17/2021
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