MEDICARE: AUBREY- PIERRE KEYS SR. MFTI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	99598	CA

General Provider Information

NPI Number	:	1104143395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUBREY- PIERRE KEYS SR. MFTI

Provider Business Mailing Address
First Line	:	2150 STOCKTON BLVD.
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	94806-1706
Country	:	US
Telephone Number	:	916-875-1000
Fax Number	:	916-419-6425

Provider Business Practice Location Address
First Line	:	2150 STOCKTON BLVD.
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	94806-1706
Country	:	US
Telephone Number	:	916-875-1000
Fax Number	:	916-419-6425

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2010
Last Update Date	:	08/21/2024

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