Individual provider · Type 1 NPI

Keith Alan Pratt

Addiction (Substance Use Disorder) Counselor · San Diego, CA

NPI number 1104162684 Active

Practice location

3340 Kemper St, Suite 105
San Diego, CA 92110-4906

Call (619) 523-8121 Map

Fax (619) 523-8742

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1104162684

Keith Alan Pratt's National Provider Identifier is 1104162684, issued on Jan 2, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Jan 2, 2013.