Keaveny, Edward John

Keaveny, Edward John is an individual health care provider with primary practice located at 4760 Sepulveda Blvd , Culver City CA 90230-4820. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Keaveny, Edward John can be contacted via phone (310) 390-6612.

Contact Information

Primary practice address
4760 Sepulveda Blvd Culver City CA 90230-4820
Phone: (310) 390-6612
Fax: (310) 398-5690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 59604 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 52652 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1730367988
LBN Legal business name Keaveny, Edward John
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2008
Last updated Jan 28th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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