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
Fax:
Website:

Health care specialties

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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609955699 NPPES
California MEDICAID 1609955699

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