Keenberg, Casey

Keenberg, Casey is an individual health care provider with primary practice located at 2325 N Wyatt Dr , Tucson AZ 85712-2121. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Keenberg, Casey can be contacted via phone (520) 616-1510.

Contact Information

Primary practice address
2325 N Wyatt Dr Tucson AZ 85712-2121
Phone: (520) 616-1510
Fax: (520) 616-1511
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-21407 Arizona

Profile Details

NPI number 1811397110
LBN Legal business name Keenberg, Casey
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2014
Last updated Aug 24th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811397110 NPPES
Arizona MEDICAID 160516

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