Individual provider · Type 1 NPI
Keston Terrell Cheathem
Mental Health Counselor · Victorville, CA
NPI number
1518272889
Active
Practice location
15095 Amargosa Rd, Suite 201
Victorville, CA 92394-1879
Fax (760) 513-4696
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1518272889
Keston Terrell Cheathem's National Provider Identifier is 1518272889, issued on Aug 11, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Victorville, CA. The record was last updated on Aug 11, 2010.