Individual
BRYAN J KEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 LOMBARD ST, NEW HAVEN, CT 06513-2910
(203) 777-3921
Mailing address
501 LOMBARD ST, NEW HAVEN, CT 06513-2910
(203) 777-3921
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
11/30/2009
Last updated
03/26/2013
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