Mr. Keith Sours
Mr. Keith Sours is an Addiction (Substance Use Disorder) Counselor in Modesto, California. Practices as a sole proprietor. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
103 Modesto AveModesto, CA 95354-0414
Phone: (209) 527-4597
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1326349994 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 12, 2010 |
| Last updated in NPPES | November 12, 2010 |
| Mailing address | 103 Modesto Ave, Modesto, CA 95354-0414 |
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