Individual
MS. CELESTE L. CHEATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.C., L.P.C.
Contact information
Practice address
1845 SOUTH DOBSON ROAD, SUITE 202, MESA, AZ 85202-5613
(480) 532-5638
(480) 634-7465
Mailing address
PO BOX 51356, PHOENIX, AZ 85076-1356
(480) 532-5638
(480) 634-7465
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12683
AZ
101YP2500X
Professional Counselor
LPC-12683
AZ
Other
Enumeration date
06/15/2007
Last updated
01/13/2015
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