Geric Lakeith Kenebrew
Geric Lakeith Kenebrew is a Case Manager/Care Coordinator in Altadena, California. Practices as a sole proprietor. Licensed in Tennessee.
- Licensed in
- TN
- In the registry since
- 2024
- Specialties on file
- 4
Practice location Address checks out
71 W Las Flores DrAltadena, CA 91001-4341
Phone: (626) 316-4740
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Specialties & licences
| Pastoral Counselor (primary) | Taxonomy 101YP1600X · Licence 26-2537-0-51918 (TN) |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
| Peer Specialist | Taxonomy 175T00000X |
| Case Management Agency | Taxonomy 251B00000X |
Record details
| NPI number | 1265260640 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 25, 2024 |
| Last updated in NPPES | July 25, 2024 |
| Certification date | July 25, 2024 |
| Mailing address | 71 W Las Flores Dr, Altadena, CA 91001-4341 |
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