Individual
CASEY KENYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
847 ARBOR CIR, LA VERNE, CA 91750-5752
(626) 716-4542
Mailing address
1260 E ARROW HWY, UPLAND, CA 91786-4982
(626) 716-4542
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/03/2026
Last updated
06/04/2026
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