Provider Demographics
NPI:1518242312
Name:ENGLISH, KECHIA LETTICE (MFT INTERN)
Entity Type:Individual
Prefix:MS
First Name:KECHIA
Middle Name:LETTICE
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:MFT INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 RAPTORS VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-6822
Mailing Address - Country:US
Mailing Address - Phone:702-683-3431
Mailing Address - Fax:
Practice Address - Street 1:309 RAPTORS VIEW AVE
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-6822
Practice Address - Country:US
Practice Address - Phone:702-683-3431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-12
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI0124101YM0800X
NV01251106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health