Keenan Ray Tom Smith

NPI #1912500513 in Ukiah, California

Provider Information

NPI Number
1912500513
Entity Type
Individual
Name
Keenan Ray Tom Smith
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Rehabilitation Counselor
Enumeration Date
Nov 17, 2020
Last Updated
Nov 17, 2020

Practice Location

Address
776 S STATE ST STE 107
City
Ukiah
ZIP Code
95482-5858
Phone
(707) 463-4915

Specialties & Taxonomy Codes

Specialty
Rehabilitation Counselor

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