Individual
MRS. KELSEY LYN CUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1738 ROSE LN, SAN JACINTO, CA 92583-5120
(760) 271-0883
Mailing address
1738 ROSE LN, SAN JACINTO, CA 92583-5120
(760) 271-0883
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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