KEITH LEE LARSEN

PITTSBURG, CA
NPI1063916872
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  11207-R)
Enumeration Date2018-03-19
Last Update Date2018-03-19
Business Address
KEITH LEE LARSEN CAADE-R
1251 CALIFORNIA AVE STE 600
PITTSBURG, CA 94565-4145
Phone number: 925-439-5161
Mailing Address
KEITH LEE LARSEN CAADE-R
3016 MADISON CT
ANTIOCH, CA 94509-5333
Phone number: 925-812-1233
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