CHEYENNE KAISA
NPI 1679223986
Counselor - Mental Health in Stockton, CA
Active since March 28, 2022
About Cheyenne Kaisa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHEYENNE KAISA (NPI 1679223986) is an individual mental health provider in Stockton, California and active in the NPI registry since March 2022.
NPPES Registry Identity
NPI1679223986
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHEYENNE KAISA
Location Address306 E MAIN ST STE 307Stockton, CA 95202-2908
Mailing Address306 E Main St Ste 307Stockton, CA 95202-2908 · (209) 478-4554
Phone(209) 478-4554
Sole ProprietorNo
Enumeration DateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1679223986 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
306 E MAIN ST STE 307, Stockton, CA 95202
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679223986, enumerated as an "individual" on March 28, 2022.
The provider is located at 306 E MAIN ST STE 307 STOCKTON, CA 95202 and the phone number is (209) 478-4554.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
