Individual
MS. KISHA NATHIMA VALLEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1103 WEST STAN SCHLUETER LOOP, BUILDING A SUITE 100, KILLEEN, TX 76549
(254) 213-7847
(254) 312-2002
Mailing address
1103 WEST STAN SCHLUETER LOOP, BUILDING A SUITE 100, KILLEEN, TX 76549
(254) 213-7847
(254) 312-2002
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
65621
TX
Other
Enumeration date
12/19/2018
Last updated
03/13/2025
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