Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN AUSTIN CHURCHILL
Active Sole ProprietorKEVIN AUSTIN CHURCHILL is a Mental Health Counselor healthcare provider located in STOCKTON, California. NPI 1053822841 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · STOCKTON, CA
Registration Details
- NPI Number
- 1053822841
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2017 (8.793363835201 yrs)
- Last Updated
- Oct 19, 2017
- License
-
40640 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1212 N CALIFORNIA STSTOCKTON, CA, 952021552Browse CA providers · Browse ZIP 95202
- Phone
- 2094680102
- Fax
- 2094682380
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in STOCKTON, CA
| Name | Credential | NPI |
|---|---|---|
| CEDRIC ANTHONY ANDERSON | MFTI | 1467534941 |
| CHERYL SANWO | — | 1316018625 |
| DAWN MICHELLE RODRIGUEZ | M.F.T. | 1710042791 |
| MS. SALLY MOORE GRENINGER | M.A., LMFT | 1275689168 |
| JULIE LERMA | — | 1093861908 |
| NOAH JOHN SUESS | — | 1508912700 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.