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NPI Code Detail

MEDICARE: MS. BONNIE KEENE

MEDICARE: MS. BONNIE KEENE
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
1101YM0800XMental Health CounselorAC-23340AZ

General Provider Information

NPI Number : 1215863295
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BONNIE KEENE
Provider Business Mailing Address
First Line : 5601 N MARIA DR
Second Line :
City : TUCSON
State : AZ
Zip : 85704-5925
Country : US
Telephone Number : 520-909-3701
Fax Number :
Provider Business Practice Location Address
First Line : 6700 N ORACLE RD STE 240
Second Line :
City : TUCSON
State : AZ
Zip : 85704-7738
Country : US
Telephone Number : 520-524-4757
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2026
Last Update Date : 06/18/2026

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Directions to “ MS. BONNIE KEENE ” Practice Location

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