Individual provider · Type 1 NPI
Keith John Tanner
Addiction (Substance Use Disorder) Counselor · Rockaway Beach, NY
NPI number
1295411064
Active
Practice location
88-02 Rockaway Beach Blvd
Rockaway Beach, NY 11691
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 38720 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1295411064
Keith John Tanner's National Provider Identifier is 1295411064, issued on Jun 26, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rockaway Beach, NY. The record was last updated on Jun 26, 2023.