Individual provider · Type 1 NPI

Geric Lakeith Kenebrew

Pastoral Counselor · Altadena, CA

NPI number 1265260640 Active

Practice location

71 W Las Flores Dr
Altadena, CA 91001-4341

Call (626) 316-4740 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Peer Specialist 175T00000XNone listed
Case Management Agency 251B00000XNone listed
Pastoral Counselor Primary 101YP1600X26-2537-0-51918 (TN)

Pastoral Counselor: Definition to come...

About NPI 1265260640

Geric Lakeith Kenebrew's National Provider Identifier is 1265260640, issued on Jul 25, 2024. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Altadena, CA. The record was last updated on Jul 25, 2024.