Individual provider · Type 1 NPI
Kevin Austin Churchill
Mental Health Counselor · Stockton, CA
NPI number
1053822841
Active
Practice location
1212 N California St
Stockton, CA 95202-1552
Fax (209) 468-2380
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 40640 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1053822841
Kevin Austin Churchill's National Provider Identifier is 1053822841, issued on Oct 19, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stockton, CA. The record was last updated on Oct 19, 2017.