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Mr. Keegan Patrick Davis
Addiction (Substance Use Disorder) Counselor in Fresno, California
NPI 1376909390

Keegan Patrick Davis is an Addiction (Substance Use Disorder) Counselor based in Fresno, CA and is specialized in Addiction (Substance Use Disorder). Keegan Patrick Davis practices in Fresno, CA. The NPI Number for Keegan Patrick Davis is 1376909390 and holds a License No. 9012 (California).

The current practice location address for Keegan Patrick Davis is 1204 W Shaw Ave Ste 102, Fresno, CA and can be reached out via phone at 559-273-2942.

Location: 1204 W Shaw Ave Ste 102, Fresno, CA, 93728-1519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376909390
Provider Name
Keegan Patrick Davis
Credential
Provider Entity Type
Individual
Gender
Male
Address
1204 W Shaw Ave Ste 102, Fresno, CA, 93728-1519
Phone Number
559-273-2942
Fax Number
Provider Enumeration Date
01/06/2016
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
1204 W Shaw Ave Ste 102
City
Fresno
State
California
Zip
93711-3706
Phone Number
559-273-2942
Fax Number
person
Provider Business Mailing Address Details
Address
1204 W Shaw Ave Ste 102
City
Fresno
State
California
Zip
93711-3706
Phone Number
559-273-2942
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
9012 (California)
Definition
Definition to come...
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