JOLENE S KEO NPI 1811164767

NPI Information

NPI: 1811164767
Provider Name: JOLENE S KEO
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
4422 N PERSHING AVE STE D5
STOCKTON, CA
ZIP 95207
Phone: (209) 953-8864
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Jolene S Keo is a counselor in Stockton, CA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Jolene S Keo NPI is 1811164767. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4422 N PERSHING AVE STE D5
STOCKTON, CA
ZIP 95207-967
Phone: (209) 953-8864

The enumeration date for this NPI number is 5/9/2008 and was last updated on 5/9/2008.

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
1	101Y00000X	Counselor				Yes

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: 5/5/2024

NPI Synchronization or Removal

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