Geric Lakeith Kenebrew

NPI #1265260640 in Altadena, California

Provider Information

NPI Number: 1265260640
Entity Type: Individual
Name: Geric Lakeith Kenebrew
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Pastoral
Enumeration Date: Jul 25, 2024
Last Updated: Jul 25, 2024

Practice Location

Address: 71 W LAS FLORES DR
City: Altadena
State: California
ZIP Code: 91001-4341
Phone: (626) 316-4740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Peer Specialist	175T00000X
Case Management	251B00000X
Counselor - Pastoral — Pastoral	101YP1600X	Primary

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