Provider Demographics
NPI:1407254881
Name:SAUCIER, KESHA (NP, LMFT, LEP)
Entity Type:Individual
Prefix:MS
First Name:KESHA
Middle Name:
Last Name:SAUCIER
Suffix:
Gender:F
Credentials:NP, LMFT, LEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12340 SEAL BEACH BLVD # B-187
Mailing Address - Street 2:
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740-2792
Mailing Address - Country:US
Mailing Address - Phone:504-814-0084
Mailing Address - Fax:310-300-1814
Practice Address - Street 1:211 N PRAIRIE AVE
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-1412
Practice Address - Country:US
Practice Address - Phone:504-814-0084
Practice Address - Fax:310-300-1814
Is Sole Proprietor?:No
Enumeration Date:2014-12-16
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2939103TS0200X
CA51183106H00000X
CA95003767363LP2300X, 363LP0808X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care