KEITH STEPHENS

SAN BERNARDINO, CA
NPI1043068679
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1536801123)
Enumeration Date2024-05-08
Last Update Date2025-01-10
Business Address
KEITH STEPHENS
349 W 11TH ST
SAN BERNARDINO, CA 92410-3513
Phone number: 909-932-1069
Mailing Address
KEITH STEPHENS
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 909-884-0840
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