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Mr. Keith Alan Pratt
Addiction (Substance Use Disorder) Counselor in San Diego, California
NPI 1104162684

Keith Alan Pratt is an Addiction (Substance Use Disorder) Counselor based in San Diego, CA and is specialized in Addiction (Substance Use Disorder). Keith Alan Pratt practices in San Diego, CA. The NPI Number for Keith Alan Pratt is 1104162684 and holds a License No. (California).

The current practice location address for Keith Alan Pratt is 3340 Kemper St, San Diego, CA and can be reached out via phone at 619-523-8121 and via fax at 619-523-8742.

Location: 3340 Kemper St, San Diego, CA, 92110-4906
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104162684
Provider Name
Keith Alan Pratt
Credential
Provider Entity Type
Individual
Gender
Male
Address
3340 Kemper St, San Diego, CA, 92110-4906
Phone Number
619-523-8121
Fax Number
619-523-8742
Provider Enumeration Date
01/02/2013
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
373781 05 CA
institution
Provider Business Practice Location Address Details
Address
3340 Kemper St
City
San Diego
State
California
Zip
92110-4906
Phone Number
619-523-8121
Fax Number
619-523-8742
person
Provider Business Mailing Address Details
Address
3340 Kemper St
City
San Diego
State
California
Zip
92110-4906
Phone Number
619-523-8121
Fax Number
619-523-8742
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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