Individual
MRS. ANTOINETTE SYLVIA CHEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
474 W VERMONT AVE, ESCONDIDO, CA 92025-6584
(760) 432-9884
Mailing address
474 W VERMONT AVE, ESCONDIDO, CA 92025-6584
(760) 432-9884
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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