Provider Demographics
NPI:1073999124
Name:KESLER, MARIA (ASW, CADC II)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:KESLER
Suffix:
Gender:F
Credentials:ASW, CADC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 W WILLIAMS ST STE 1
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90810-3617
Mailing Address - Country:US
Mailing Address - Phone:562-388-8118
Mailing Address - Fax:562-388-8117
Practice Address - Street 1:2600 REDONDO AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2325
Practice Address - Country:US
Practice Address - Phone:562-256-2906
Practice Address - Fax:562-290-0136
Is Sole Proprietor?:No
Enumeration Date:2015-07-30
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA116071104100000X
101YA0400X, 171M00000X
CAA050720118101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator