Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEITH MCPHERSON ENNIS, SUDC III-CS
ActiveMR. KEITH MCPHERSON ENNIS, SUDC III-CS is a Addiction (Substance Use Disorder) Counselor healthcare provider located in FRESNO, California. NPI 1356714430 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · FRESNO, CA
Registration Details
- NPI Number
- 1356714430
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 11, 2015 (10.75301754812 yrs)
- Last Updated
- Sep 29, 2025
- License
-
6533 (CA)
Practice Information
- Address
-
3636 N 1ST ST STE 135&154FRESNO, CA, 937266800Browse CA providers · Browse ZIP 93726
- Phone
- 5592251464
- Fax
- 8446012973
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in FRESNO, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. ANGELA CHRISTINE HUDSON | CADC-CAS | 1124198684 |
| MS. TINA M HEDSTROM | CADCII, CAS | 1700945516 |
| MRS. RUBY LUPE DEANDA | — | 1245390046 |
| MS. MARIEELENA NAVARRO | — | 1487715884 |
| MR. RICHARD DEVEAU | — | 1114081155 |
| SHARON GREYWOLF | — | 1194880914 |
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.