| Kenneth Keane, CADC-II | |
|
1560 Capalina Rd, San Marcos, CA 92069-1288 | |
| (760) 744-2104 | |
| (760) 744-1382 |
| Full Name | Kenneth Keane |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1560 Capalina Rd, San Marcos, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841694031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | A0010914 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Keane, CADC-II 1560 Capalina Rd, San Marcos, CA 92069-1288 Ph: (760) 744-2104 | Kenneth Keane, CADC-II 1560 Capalina Rd, San Marcos, CA 92069-1288 Ph: (760) 744-2104 |
India Cooke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1560 Capalina Rd, San Marcos, CA 92069 Phone: 760-744-2104 Fax: 760-744-1382 | |
Jessica Marie Torres, Counselor Medicare: Not Enrolled in Medicare Practice Location: 751 Rancheros Dr Ste 5, San Marcos, CA 92069 Phone: 760-761-0515 | |
Marlin Dale Jayme Richey, CADCII, ICADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1560 Capalina Rd, San Marcos, CA 92069 Phone: 760-744-2104 | |
Nick Pistone, CADC-II Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Rancheros Dr, Suite 166, San Marcos, CA 92069 Phone: 760-744-3672 Fax: 760-744-6182 | |
Chanel Ann Olea Corvino, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1560 Capalina Rd, San Marcos, CA 92069 Phone: 760-891-4435 | |
Donald Gary Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1560 Capalina Rd, San Marcos, CA 92069 Phone: 760-744-2104 | |
Mrs. Simone Valencia Allen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Buena Creek Rd, San Marcos, CA 92069 Phone: 760-566-3595 |