MS. KRISTIE KEENEY SUDRC NPI 1043043128

NPI Information

  • NPI: 1043043128
  • Provider Name: MS. KRISTIE KEENEY, SUDRC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 1496-1498 NORTH BEALE ROAD
    MARYSVILLE, CA
    ZIP 95901
  • Phone: (530) 749-8640

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NPI Details

MS. Kristie Keeney, SUDRC is an addiction (substance use disorder) counselor in Marysville, CA. MS. Kristie Keeney, SUDRC NPI is 1043043128. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1496-1498 NORTH BEALE ROAD
MARYSVILLE, CA
ZIP 95901
Phone: (530) 749-8640
Fax: (530) 749-8646

The enumeration date for this NPI number is 8/23/2024 and was last updated on 11/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)18064CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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