KENNETH KEANE

SAN MARCOS, CA
NPI1841694031
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A0010914)
Enumeration Date2014-10-16
Last Update Date2014-10-16
Business Address
-- KENNETH KEANE CADC-II
1560 CAPALINA RD
SAN MARCOS, CA 92069-1288
Phone number: 760-744-2104
Mailing Address
-- KENNETH KEANE CADC-II
1560 CAPALINA RD
SAN MARCOS, CA 92069-1288
Phone number: 760-744-2104
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