Individual
MR. ALLEN DEWAYNE CHESNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AMFT APCC FORMER IDC
Contact information
Practice address
937 VIA LATA STE 400, COLTON, CA 92324-3958
(601) 527-7537
Mailing address
900 E GILBERT STREET FAST, SAN BERNARDINO, CA 92415-0001
(601) 527-7537
(909) 386-0750
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APCC6769
CA
106H00000X
Marriage & Family Therapist
Primary
AMFT109669
CA
1710I1002X
Independent Duty Corpsman
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609955699
—
CA
Enumeration date
11/02/2006
Last updated
10/28/2021
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