Mrs Kelsey Lyn Custer, - Counselor in San Jacinto, CA

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Mrs Kelsey Lyn Custer, is a Community/behavioral Health based in San Jacinto, California. Mrs Kelsey Lyn Custer is licensed to practice in * (Not Available) (license number ) and her current practice location is 1738 Rose Ln, San Jacinto, California. She can be reached at her office (for appointments etc.) via phone at (760) 271-0883.

NPI number for Mrs Kelsey Lyn Custer is 1215810791 and her current mailing address is 1738 Rose Ln, San Jacinto, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215810791.

Contact Information

Mrs Kelsey Lyn Custer,
1738 Rose Ln,
San Jacinto, CA 92583-5120
(760) 271-0883
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMrs Kelsey Lyn Custer
GenderFemale
SpecialityCommunity/behavioral Health
Location1738 Rose Ln, San Jacinto, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215810791
  • Provider Enumeration Date: 07/30/2025
  • Last Update Date: 07/30/2025

Medical Identifiers

Medical identifiers for Mrs Kelsey Lyn Custer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215810791NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelsey Lyn Custer is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kelsey Lyn Custer,
1738 Rose Ln,
San Jacinto, CA 92583-5120

Ph: (760) 271-0883		Mrs Kelsey Lyn Custer,
1738 Rose Ln,
San Jacinto, CA 92583-5120

Ph: (760) 271-0883

Reviews and Comments


Community/Behavioral Health in San Jacinto, CA


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