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
ZIP Code
95482-6103
Phone
(707) 467-5181

Specialties & Taxonomy Codes

Specialty
Counselor
Counselor - Mental HealthMental Health
Social Worker - ClinicalClinical
Case Manager/Care Coordinator

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