Individual provider · Type 1 NPI

Keith Boone

Addiction (Substance Use Disorder) Counselor · Riverside, CA

NPI number 1174667091 Active

Practice location

1827 Atlanta Ave, D-1
Riverside, CA 92507-7419

Mailing address

2870 N Towne Ave, Apt 208
Pomona, CA 91767-2057

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 1174667091

Keith Boone's National Provider Identifier is 1174667091, issued on Feb 16, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Riverside, CA. The record was last updated on Jul 8, 2007.