Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEENAN RAY TOM SMITH
Active Sole ProprietorKEENAN RAY TOM SMITH is a Rehabilitation Counselor healthcare provider located in UKIAH, California. NPI 1912500513 is currently active in the NPPES registry. Verify at CMS.
Rehabilitation Counselor · UKIAH, CA
Registration Details
- NPI Number
- 1912500513
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2020 (5.7208562908747 yrs)
- Last Updated
- Nov 17, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
776 S STATE ST STE 107UKIAH, CA, 954825858Browse CA providers · Browse ZIP 95482
- Phone
- 7074634915
- Primary Specialty
-
Rehabilitation Counselor
225C00000X
Other Rehabilitation Counselor Providers in UKIAH, CA
| Name | Credential | NPI |
|---|---|---|
| THEADORA WIPF | MFTI | 1639420748 |
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.