Keith Donavon Callow
Keith Donavon Callow is an Addiction (Substance Use Disorder) Counselor in Los Angeles, California. Licensed in California. Registered with an NPI since 2024.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
12021 Wilmington AveLos Angeles, CA 90059-3019
Phone: (424) 454-6001
Fax: (310) 679-4621
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 16891 (CA) |
|---|
Record details
| NPI number | 1326899261 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 28, 2024 |
| Last updated in NPPES | March 28, 2024 |
| Certification date | February 29, 2024 |
| Mailing address | 12021 Wilmington Ave, Los Angeles, CA 90059-3019 |
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