person
Keith Lee Larsen, CAADE-R
Addiction (Substance Use Disorder) Counselor in Pittsburg, California
NPI 1063916872

Keith Lee Larsen is an Addiction (Substance Use Disorder) Counselor based in Antioch, CA and is specialized in Addiction (Substance Use Disorder). Keith Lee Larsen practices in Pittsburg, CA and has the professional credentials of CAADE-R. The NPI Number for Keith Lee Larsen is 1063916872 and holds a License No. 11207-R (California).

The current practice location address for Keith Lee Larsen is 1251 California Ave Ste 600, Pittsburg, CA and can be reached out via phone at 925-439-5161 and via fax at 925-439-0322.

Location: 1251 California Ave Ste 600, Pittsburg, CA, 94509-5333
person
Provider Profile Details
NPI Number
1063916872
Provider Name
Keith Lee Larsen
Credential
CAADE-R
Provider Entity Type
Individual
Gender
Male
Address
1251 California Ave Ste 600, Pittsburg, CA, 94509-5333
Phone Number
925-439-5161
Fax Number
925-439-0322
Provider Enumeration Date
03/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1251 California Ave Ste 600
City
State
Zip
94565-4145
Phone Number
925-439-5161
Fax Number
925-439-0322
person
Provider Business Mailing Address Details
Address
1251 California Ave Ste 600
City
State
Zip
94565-4145
Phone Number
925-439-5161
Fax Number
925-439-0322
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
11207-R (California)
Definition
Definition to come...
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