Michael Keenan, LSUDC

NPI #1417428178 in Saint George, Utah

Provider Information

NPI Number: 1417428178
Entity Type: Individual
Name: Michael Keenan, LSUDC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LSUDC
Enumeration Date: Dec 6, 2018
Last Updated: Dec 6, 2018

Practice Location

Address: 1223 S 1280 E
City: Saint George
State: Utah
ZIP Code: 84790-8553
Phone: (435) 680-1459

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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