Keith Everage

NPI 1730378266 - Counselor - 101YA0400X

NPI Details
NPI 1730378266
Gender Male
Enumeration Date 10/22/2007
Last Updated 10/22/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
11502 S VERMONT AVE
# D
LOS ANGELES CA, 90044-6522, US
Phone (323) 755-2742
Fax
Business Location
8306 WILSHIRE BLVD
#7024
BEVERLY HILLS CA, 90211-2304, US
Phone (323) 755-2742
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State California
License Number 7222
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According to our database, Keith Everage NPI is 1730378266, taxonomy code is 101YA0400X and license number is 7222, license state is located at California. Keith Everage physically located at 11502 S Vermont Ave, Los Angeles CA, 90044-6522. NPI Number Keith Everage has the Individual type.

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1730378266 NPI number is provided on an as is basis without warranty of any kind. 1730378266 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Everage are for informational purposes only.