Smith, Kathleen Cheyenne

Smith, Kathleen Cheyenne is an individual health care provider with primary practice located at 18612 Santa Ana Ave , Bloomington CA 92316-2636. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Smith, Kathleen Cheyenne can be contacted via phone (909) 421-7120.

Contact Information

Primary practice address
18612 Santa Ana Ave Bloomington CA 92316-2636
Phone: (909) 421-7120
Fax: (909) 421-7128
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC 53298 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 53298 California

Profile Details

NPI number 1467896035
LBN Legal business name Smith, Kathleen Cheyenne
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2013
Last updated Aug 28th, 2023 - about last year

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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