Individual provider · Type 1 NPI
Michael Keenan, LSUDC
Addiction (Substance Use Disorder) Counselor · St. George, UT
NPI number
1417428178
Active
Practice location
1223 S 1280 E
St. George, UT 84790-8553
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 5649814-6006 (UT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1417428178
Michael Keenan, LSUDC's National Provider Identifier is 1417428178, issued on Dec 6, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. George, UT. The record was last updated on Dec 6, 2018.