Individual
MR. KEANU CARMEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
1755 SULLIVAN LN, SPARKS, NV 89431-2815
(775) 499-5534
Mailing address
1755 SULLIVAN LN, SPARKS, NV 89431-2815
(775) 499-5534
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
06782-1
NV
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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