Most Relevant Information
Provider Data
| NPI Number: | 1003504374 |
| Provider Name: | KAYLA CHEATUM LCSW, LCADC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 37LC00356400 |
Most Important Dates
| Enumeration Date: | 04/25/2023 |
| Last Updated: | 04/25/2023 |
Provider Practice Location
114 BROAD ST
KEYPORT
NJ
077351203
Practice Location Phone/Fax
| Phone: | 8484445449 |
| Fax: |
Provider Mailing Location
114 BROAD ST
KEYPORT
NJ
077351203
Provider Mailing Phone/Fax
| Phone: | 8484445449 |
| Fax: |