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NPI Code Detail

MEDICARE: ABBEY G KEENEY LPC, CAC II

MEDICARE: ABBEY G KEENEY LPC, CAC II
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YP2500XProfessional Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14161OTHERCOLPC

General Provider Information

NPI Number : 1407861800
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABBEY G KEENEY LPC, CAC II
Provider Business Mailing Address
First Line : 1300 N 17TH AVE
Second Line :
City : GREELEY
State : CO
Zip : 80631-9584
Country : US
Telephone Number : 970-347-2120
Fax Number : 970-300-3127
Provider Business Practice Location Address
First Line : 1300 N 17TH AVE
Second Line :
City : GREELEY
State : CO
Zip : 80631-9584
Country : US
Telephone Number : 970-347-2120
Fax Number : 970-353-3906
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 12/10/2020

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