| Kathleen Cheyenne Smith, LMFT | |
|
18612 Santa Ana Ave, Bloomington, CA 92316-2636 | |
| (909) 421-7120 | |
| (909) 421-7128 |
| Full Name | Kathleen Cheyenne Smith |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 18612 Santa Ana Ave, Bloomington, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467896035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC 53298 (California) | Primary |
| 106H00000X | Marriage & Family Therapist | 53298 (California) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Cheyenne Smith, LMFT 18612 Santa Ana Ave., Bloomington, CA 92316 Ph: (909) 421-7120 | Kathleen Cheyenne Smith, LMFT 18612 Santa Ana Ave, Bloomington, CA 92316-2636 Ph: (909) 421-7120 |
Mr. James B Entz, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 18612 Santa Ana Ave, Bloomington, CA 92316 Phone: 909-421-7120 Fax: 909-421-7128 | |
Daniela Gomez-garcia, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1003 S Idyllwild Ave, Bloomington, CA 92316 Phone: 909-251-9036 |