Keith Stephens

NPI #1043068679 in San Bernardino, California

Provider Information

NPI Number
1043068679
Entity Type
Individual
Name
Keith Stephens
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
May 8, 2024
Last Updated
Jan 10, 2025

Practice Location

Address
349 W 11TH ST
ZIP Code
92410-3513
Phone
(909) 932-1069

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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