Steven Illers
Steven Illers is a Child Mental Illness Respite Care in Kingman, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
3854 Heather AveKingman, AZ 86401-3844
Phone: (702) 219-0881
Fax: (928) 774-2159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Foster Care Agency (primary) | Taxonomy 253J00000X · Licence 8122828 (AZ) |
|---|---|
| Child Mental Illness Respite Care | Taxonomy 385HR2055X · Licence 8122828 (AZ) |
Record details
| NPI number | 1780127241 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 30, 2016 |
| Last updated in NPPES | February 4, 2021 |
| Certification date | February 4, 2021 |
| Mailing address | 3854 Heather Ave, Kingman, AZ 86401-3844 |
Other providers in Kingman
-
Sion Colmus
4079 Pinto Rd, Kingman, AZ 86401-7218 · (928) 264-3003
-
Gabrielle Reynolds
3003 Hualapai Mountain Rd Lot 8, Kingman, AZ 86401-5390 · (520) 748-7108