Keith McCormick
Keith McCormick is a Counselor in San Jacinto, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2021
- Specialties on file
- 3
Practice location Address checks out
1370 S State St Ste ASan Jacinto, CA 92583-4922
Phone: (951) 791-3300
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Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 141972 (CA) |
|---|---|
| Counselor | Taxonomy 101Y00000X (CA) |
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1790367498 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 22, 2021 |
| Last updated in NPPES | April 12, 2024 |
| Certification date | April 12, 2024 |
| Mailing address | 3507 W Stetson Ave # 206, Hemet, CA 92545-9740 |
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