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Miss Molly Brenna Keane
Mental Health Counselor in Berkeley, California
NPI 1164755419

Molly Brenna Keane is a Mental Health Counselor based in Berkeley, CA and is specialized in Mental Health. Molly Brenna Keane practices in Berkeley, CA. The NPI Number for Molly Brenna Keane is 1164755419 and holds a License No. (California).

The current practice location address for Molly Brenna Keane is 3075 Adeline St, Berkeley, CA and can be reached out via phone at 510-848-1112. You can also correspond with Molly Brenna Keane through the mailing address at 3075 ADELINE ST, BERKELEY, CA - 94703-2576 (mailing address contact number: 510-848-1112).

Location: 3075 Adeline St, Berkeley, CA, 94703-2576
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164755419
Provider Name
Molly Brenna Keane
Credential
Provider Entity Type
Individual
Gender
Female
Address
3075 Adeline St, Berkeley, CA, 94703-2576
Phone Number
510-848-1112
Fax Number
Provider Enumeration Date
09/17/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3075 Adeline St
City
Berkeley
State
California
Zip
94703-2576
Phone Number
510-848-1112
Fax Number
person
Provider Business Mailing Address Details
Address
3075 Adeline St
City
Berkeley
State
California
Zip
94703-2576
Phone Number
510-848-1112
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
31141 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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