Doctor Name: | MARIA KESLER |
NPI Number: | 1073999124 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CATC |
License Number: | |
Business Practice Address: | 15519 Crenshaw Blvd Gardena, CA - 902494525 |
Business Phone Number: | 3106799126 |
Business Fax Number: | 3106792920 |
Mailing Address: | 15519 Crenshaw Blvd, GARDENA |
State: | CA |
Postal Code: | 902494525 |
Phone Number: | 3106799126 |
Fax Number: | 3106792920 |
NPI Enumeration Date: | 07/30/2015 |
NPI Last Update Date: | 07/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |