IndividualActive
Geric Kenebrew
NPI 1265260640 · Pastoral Counselor · Altadena, CA
Provider details
- NPI number
- 1265260640
- Entity type
- Individual
- Primary specialty
- Pastoral CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
71 W Las Flores Dr
Altadena, CA 91001-4341
Registry dates
- Enumerated
- 2024-07-25
- Last updated
- 2024-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.