Provider Demographics
NPI:1528428430
Name:CELESTINE, CHERI (LPCC)
Entity type:Individual
Prefix:
First Name:CHERI
Middle Name:
Last Name:CELESTINE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2148
Mailing Address - Street 2:
Mailing Address - City:RIDGECREST
Mailing Address - State:CA
Mailing Address - Zip Code:93556-2148
Mailing Address - Country:US
Mailing Address - Phone:702-246-2315
Mailing Address - Fax:
Practice Address - Street 1:126 S GEMSTONE ST
Practice Address - Street 2:
Practice Address - City:RIDGECREST
Practice Address - State:CA
Practice Address - Zip Code:93555-4118
Practice Address - Country:US
Practice Address - Phone:702-246-2315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-04
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3694101YP2500X
CA9118101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional