Keith William Tom
Keith William Tom is a Mental Health Counselor in Truckee, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
10038 Meadow Way Unit DTruckee, CA 96161-4974
Phone: (510) 381-3705
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1104578897 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 24, 2022 |
| Last updated in NPPES | January 24, 2022 |
| Certification date | January 24, 2022 |
| Mailing address | 2604 Armstrong Ave, South Lake Tahoe, CA 96150-2941 |
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