Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GERIC LAKEITH KENEBREW
Active Sole ProprietorGERIC LAKEITH KENEBREW is a Pastoral Counselor healthcare provider located in ALTADENA, California. NPI 1265260640 is currently active in the NPPES registry. Verify at CMS.
Pastoral Counselor · ALTADENA, CA
Registration Details
- NPI Number
- 1265260640
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2024 (1.8737004203115 yrs)
- Last Updated
- Jul 25, 2024
- License
-
26-2537-0-51918 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
71 W LAS FLORES DRALTADENA, CA, 910014341Browse CA providers · Browse ZIP 91001
- Phone
- 6263164740
- Primary Specialty
-
Pastoral Counselor
101YP1600X
- Additional Specialty
- Peer Specialist
- Additional Specialty
- Case Management Agency
- Additional Specialty
- Pastoral Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.