Individual provider · Type 1 NPI

Keith Donavon Callow

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1326899261 Active

Practice location

12021 Wilmington Ave
Los Angeles, CA 90059-3019

Call (424) 454-6001 Map

Fax (310) 679-4621

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16891 (CA)

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

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About NPI 1326899261

Keith Donavon Callow's National Provider Identifier is 1326899261, issued on Mar 28, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 28, 2024.