Doctor Name: | JANICE HOSE KEENBERG |
NPI Number: | 1780833350 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 30409 |
Business Practice Address: | 3744 Mount Pinos Way Frazier Park, CA - 932250876 |
Business Phone Number: | 6612450263 |
Business Fax Number: | |
Mailing Address: | 3744 Mount Pinos Way, FRAZIER PARK |
State: | CA |
Postal Code: | 932250876 |
Phone Number: | 6612450263 |
Fax Number: | |
NPI Enumeration Date: | 09/18/2008 |
NPI Last Update Date: | 09/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 30409 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |