Keeney, Raeellen K

Keeney, Raeellen K is an individual health care provider with primary practice located at 3132 Jefferson St , San Diego CA 92110-4421. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Keeney, Raeellen K can be contacted via phone (619) 683-3100.

Contact Information

Primary practice address
3132 Jefferson St San Diego CA 92110-4421
Phone: (619) 683-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW36965 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW74297 California

Profile Details

NPI number 1265779318
LBN Legal business name Keeney, Raeellen K
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2013
Last updated Aug 23rd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers