MR. Keenan P Tyner, LCSW
NPI #1023347911 in Ukiah, California
Provider Information
- NPI Number
- 1023347911
- Entity Type
- Individual
- Name
- MR. Keenan P Tyner, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- LCSW
- Enumeration Date
- Dec 23, 2009
- Last Updated
- Mar 30, 2023
Practice Location
- Address
- 2240 OLD RIVER RD
- City
- Ukiah
- State
- California
- ZIP Code
- 95482-6103
- Phone
- (707) 467-5181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Counselor - Mental Health — Mental Health |
| Social Worker - Clinical — Clinical |
| Case Manager/Care Coordinator |
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