Individual provider · Type 1 NPI

Edan Michael Keven

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1609128313 Active

Practice location

2772 South Martin Luther King Boulevard
Fresno, CA 93706

Call (559) 265-4800 Map

Mailing address

3416 N Fruit Ave, Apt N
Fresno, CA 93705-3545

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 1609128313

Edan Michael Keven's National Provider Identifier is 1609128313, issued on Oct 4, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Oct 4, 2012.