person
Keith Donavon Callow
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1326899261

Keith Donavon Callow is an Addiction (Substance Use Disorder) Counselor based in Los Angeles, CA and is specialized in Addiction (Substance Use Disorder). Keith Donavon Callow practices in Los Angeles, CA. The NPI Number for Keith Donavon Callow is 1326899261 and holds a License No. 16891 (California).

The current practice location address for Keith Donavon Callow is 12021 Wilmington Ave, Los Angeles, CA and can be reached out via phone at 424-454-6001 and via fax at 310-679-4621.

Location: 12021 Wilmington Ave, Los Angeles, CA, 90059-3019
person
Provider Profile Details
NPI Number
1326899261
Provider Name
Keith Donavon Callow
Credential
Provider Entity Type
Individual
Gender
Male
Address
12021 Wilmington Ave, Los Angeles, CA, 90059-3019
Phone Number
424-454-6001
Fax Number
310-679-4621
Provider Enumeration Date
03/28/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
12021 Wilmington Ave
City
State
Zip
90059-3019
Phone Number
424-454-6001
Fax Number
310-679-4621
person
Provider Business Mailing Address Details
Address
12021 Wilmington Ave
City
State
Zip
90059-3019
Phone Number
424-454-6001
Fax Number
310-679-4621
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
16891 (California)
Definition
Definition to come...
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