Doctor Name: | DENISE L KEISER |
NPI Number: | 1386781847 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 891 Mountain Ranch Rd San Andreas, CA - 952499713 |
Business Phone Number: | 2097546525 |
Business Fax Number: | |
Mailing Address: | Po Box 124, PIONEER |
State: | CA |
Postal Code: | 956660124 |
Phone Number: | 2092934944 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |