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NPI Code Detail

MEDICARE: KEVEN PATRICK O'BRIEN

MEDICARE:   KEVEN PATRICK O'BRIEN
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 Counselor

General Provider Information

NPI Number : 1538324033
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVEN PATRICK O'BRIEN
Provider Business Mailing Address
First Line : 1910 N BUSH ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92706-2816
Country : US
Telephone Number : 714-361-7950
Fax Number : 714-361-7966
Provider Business Practice Location Address
First Line : 275 BAKER ST E
Second Line : SUITE A
City : COSTA MESA
State : CA
Zip : 92626-4566
Country : US
Telephone Number : 714-361-6760
Fax Number : 714-361-6768
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2008
Last Update Date : 05/07/2015

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Directions to “ KEVEN PATRICK O'BRIEN ” Practice Location

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