person
Mr. Shane T. Chestnut, BA
Mental Health Counselor in Oceanside, California
NPI 1710052048

Shane T. Chestnut is a Mental Health Counselor based in Oceanside, CA and is specialized in Mental Health. Shane T. Chestnut practices in Oceanside, CA and has the professional credentials of BA. The NPI Number for Shane T. Chestnut is 1710052048 and holds a License No. (California).

The current practice location address for Shane T. Chestnut is 321 Cassidy St, Oceanside, CA and can be reached out via phone at 760-721-2171 and via fax at 760-721-8582.

Location: 321 Cassidy St, Oceanside, CA, 92054-5314
person
Provider Profile Details
NPI Number
1710052048
Provider Name
Shane T. Chestnut
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
321 Cassidy St, Oceanside, CA, 92054-5314
Phone Number
760-721-2171
Fax Number
760-721-8582
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
321 Cassidy St
City
State
Zip
92054-5314
Phone Number
760-721-2171
Fax Number
760-721-8582
person
Provider Business Mailing Address Details
Address
321 Cassidy St
City
State
Zip
92054-5314
Phone Number
760-721-2171
Fax Number
760-721-8582
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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