Individual
MR. BRUCE ALAN KEENER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
1243 E BROAD ST, COLUMBUS, OH 43205-1404
(614) 321-7734
Mailing address
1243 E BROAD ST, COLUMBUS, OH 43205-1404
(614) 321-7734
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCAPRE.195571
OH
172V00000X
Community Health Worker
—
OH
175T00000X
Peer Specialist
PRS.007479
OH
Other
Enumeration date
02/07/2026
Last updated
03/30/2026
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