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NPI Code Detail

MEDICARE: MARRIA GRACE KEE

MEDICARE:   MARRIA GRACE KEE
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 : 1972389443
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARRIA GRACE KEE
Provider Business Mailing Address
First Line : 3500 SEMINARY AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94605-1851
Country : US
Telephone Number : 781-507-1360
Fax Number :
Provider Business Practice Location Address
First Line : 978 2ND ST STE 200
Second Line :
City : LAFAYETTE
State : CA
Zip : 94549-4545
Country : US
Telephone Number : 925-386-6037
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2023
Last Update Date : 08/31/2023

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Directions to “ MARRIA GRACE KEE ” Practice Location

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