Most Relevant Information
Provider Data
| NPI Number: | 1003635962 |
| Provider Name: | KOEISHA RONIQUE STEVERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | AMFT147872 |
Most Important Dates
| Enumeration Date: | 10/08/2024 |
| Last Updated: | 10/08/2024 |
Provider Practice Location
702 WORKMAN ST
BAKERSFIELD
CA
933076800
Practice Location Phone/Fax
| Phone: | 5595584051 |
| Fax: |
Provider Mailing Location
3433 W SHAW AVE STE 108
FRESNO
CA
937113229
Provider Mailing Phone/Fax
| Phone: | 5595584051 |
| Fax: |