Keith Lee Larsen, CAADE-R | |
1251 California Ave Ste 600, Pittsburg, CA 94565-4145 | |
(925) 439-5161 | |
(925) 439-0322 |
Full Name | Keith Lee Larsen |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1251 California Ave Ste 600, Pittsburg, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063916872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 11207-R (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Keith Lee Larsen, CAADE-R 3016 Madison Ct, Antioch, CA 94509-5333 Ph: (925) 812-1233 | Keith Lee Larsen, CAADE-R 1251 California Ave Ste 600, Pittsburg, CA 94565-4145 Ph: (925) 439-5161 |
Laurel Ann Barth, RAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 369 East Leland, Pittsburg, CA 94565 Phone: 925-427-9100 Fax: 925-427-9102 | |
Ms. Angela Rochelle Stowers, CCADCRS6894 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Davi Ave, Pittsburg, CA 94565 Phone: 925-427-1384 | |
Chandra Lorena Colquitt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 School St, Pittsburg, CA 94565 Phone: 925-432-4118 | |
Brandi Seawright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Davi Ave, Pittsburg, CA 94565 Phone: 925-427-1384 | |
Yolanda Carmela Mosesman, RAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 535 Marina Blvd, Pittsburg, CA 94565 Phone: 925-427-9100 | |
Priscilla Ann Vasquez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 E Leland Rd Ste A&b, Pittsburg, CA 94565 Phone: 925-427-9100 Fax: 925-427-9102 | |
Jared Gallardo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Marina Blvd, Pittsburg, CA 94565 Phone: 510-851-5168 |