Healthcare Provider Details

I. General information

NPI: 1376914366
Provider Name (Legal Business Name): SERINA CHEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2015
Last Update Date: 05/18/2023
Certification Date: 05/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 E BEACH ST
WATSONVILLE CA
95076-4752
US

IV. Provider business mailing address

380 ENCINAL ST STE 200
SANTA CRUZ CA
95060-2178
US

V. Phone/Fax

Practice location:
  • Phone: 831-226-3909
  • Fax: 831-319-4468
Mailing address:
  • Phone: 831-226-3903
  • Fax: 831-459-0665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number136884
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: