Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TEQUILA CHESTER
ActiveTEQUILA CHESTER is a Counselor healthcare provider located in ELLENWOOD, Georgia. NPI 1417418294 is currently active in the NPPES registry. Verify at CMS.
Counselor · ELLENWOOD, GA
Registration Details
- NPI Number
- 1417418294
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 26, 2019 (7.366895013187 yrs)
- Last Updated
- Mar 26, 2019
Practice Information
- Address
-
4818 SILVERBUSH LNELLENWOOD, GA, 302946710Browse GA providers · Browse ZIP 30294
- Phone
- 7743029476
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in ELLENWOOD, GA
| Name | Credential | NPI |
|---|---|---|
| DR. LATESHIA SHUVONE WOODLEY | LPC, NCC | 1922262526 |
| DR. SHANNON LACERNE HALL | — | 1164856373 |
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.