Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Keith McPherson Ennis, SUDCIII-CS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1356714430

Mr. Keith McPherson Ennis, SUDCIII-CS is an Addiction (Substance Use Disorder) Counselor in Fresno, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

3636 N 1st St Ste 135&154
Fresno, CA 93726-6800
Phone: (559) 225-1464
Fax: (844) 601-2973
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1204 W Shaw Ave Ste 102, Fresno, CA 93711-3706 — (559) 940-2917

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 6533 (CA)

Record details

NPI number1356714430
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDCIII-CS
Sole proprietorNo
NPI enumeratedNovember 11, 2015
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025

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