Individual provider · Type 1 NPI

Cheyenne Kaisa

Mental Health Counselor · Stockton, CA

NPI number 1679223986 Active

Practice location

306 E Main St Ste 307
Stockton, CA 95202-2908

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1679223986

Cheyenne Kaisa's National Provider Identifier is 1679223986, issued on Mar 28, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stockton, CA. The record was last updated on Mar 28, 2022.