Individual provider · Type 1 NPI

Keith Lee Larsen, CAADE-R

Addiction (Substance Use Disorder) Counselor · Pittsburg, CA

NPI number 1063916872 Active

Practice location

1251 California Ave Ste 600
Pittsburg, CA 94565-4145

Call (925) 439-5161 Map

Fax (925) 439-0322

Mailing address

3016 Madison Ct
Antioch, CA 94509-5333

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11207-R (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1063916872

Keith Lee Larsen, CAADE-R's National Provider Identifier is 1063916872, issued on Mar 19, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pittsburg, CA. The record was last updated on Mar 19, 2018.