EDWARD JOHN KEAVENY

CULVER CITY, CA
NPI1730367988
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  52652)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
101YM0800X Counselor, Mental Health
106H00000X Marriage & Family Therapist
(Licence: CA  59604)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2008-02-08
Last Update Date2013-01-28
Business Address
Mr. EDWARD JOHN KEAVENY LMFT
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230-4820
Phone number: 310-390-6612
Mailing Address
Mr. EDWARD JOHN KEAVENY LMFT
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230-4820
Phone number: 310-390-6612