Individual
REKETTA EARLENE NESMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17800 US HIGHWAY 18, APPLE VALLEY, CA 92307-1221
(760) 946-8200
(760) 946-8208
Mailing address
17800 US HIGHWAY 18, APPLE VALLEY, CA 92307-1221
(760) 946-8200
(760) 946-8208
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2368
CA
101YP2500X
Professional Counselor
Primary
9651
CA
Other
Enumeration date
03/14/2012
Last updated
05/20/2021
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