Dr. Keith Park
Dr. Keith Park is a Counselor in Calimesa, California. Practices as a sole proprietor. Licensed in California and New Mexico.
- Licensed in
- CA, NM
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
908 Park AveCalimesa, CA 92320-1148
Phone: (909) 518-3886
Fax: (909) 790-9333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence 0085201 (NM) |
|---|---|
| Psychologist | Taxonomy 103T00000X · Licence PSY 18884 (CA) |
Record details
| NPI number | 1710101092 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 11, 2007 |
| Last updated in NPPES | September 11, 2025 |