NPI | 1275012635 |
---|---|
Professional Name | KEENA D PACE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2018-08-07 |
Last Update Date | 2025-04-29 |