MR. Keith John Tanner
NPI #1295411064 in Rockaway Beach, New York
Provider Information
- NPI Number
- 1295411064
- Entity Type
- Individual
- Name
- MR. Keith John Tanner
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jun 26, 2023
- Last Updated
- Jun 26, 2023
Practice Location
- Address
- 88-02 ROCKAWAY BEACH BLVD
- City
- Rockaway Beach
- State
- New York
- ZIP Code
- 11691
- Phone
- (718) 327-7002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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