Keith William Tom
NPI #1104578897 in Truckee, California
Provider Information
- NPI Number
- 1104578897
- Entity Type
- Individual
- Name
- Keith William Tom
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jan 24, 2022
- Last Updated
- Jan 24, 2022
Practice Location
- Address
- 10038 MEADOW WAY UNIT D
- City
- Truckee
- State
- California
- ZIP Code
- 96161-4974
- Phone
- (510) 381-3705
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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