Individual provider · Type 1 NPI
Keanna Grace Siles
Addiction (Substance Use Disorder) Counselor · Largo, MD
NPI number
1649128059
Active
Practice location
9400 Grand Blvd Apt 1603
Largo, MD 20774-2650
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | AC3104 (MD) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Largo
About NPI 1649128059
Keanna Grace Siles's National Provider Identifier is 1649128059, issued on Mar 20, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Largo, MD. The record was last updated on Mar 20, 2026.