Kellishia T Worsham

NPI #1275918146 in Upland, California

Provider Information

NPI Number: 1275918146
Entity Type: Individual
Name: Kellishia T Worsham
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jul 21, 2015
Last Updated: Jun 7, 2024

Practice Location

Address: 222 N MOUNTAIN AVE
City: Upland
State: California
ZIP Code: 91786
Phone: (909) 727-0398

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Case Manager/Care Coordinator	171M00000X

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