Chesney, Allen Dewayne
Chesney, Allen Dewayne is an individual health care provider with primary practice located at 937 Via Lata Ste 400 , Colton CA 92324-3958. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Independent Duty Corpsman, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Chesney, Allen Dewayne can be contacted via phone (601) 527-7537.Contact Information
Primary practice address
937 Via Lata Ste 400
Colton CA 92324-3958
Phone: (601) 527-7537
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | APCC6769 | California |
Other Service Providers / Independent Duty Corpsman | 1710I1002X | ||
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | AMFT109669 | California |
Profile Details
NPI number | 1609955699 |
---|---|
LBN Legal business name | Chesney, Allen Dewayne |
Credentials | AMFT APCC FORMER IDC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 2nd, 2006 |
Last updated | Oct 28th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609955699 | NPPES |
California | MEDICAID | 1609955699 |
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