Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tequila Chester

Individual provider Counselor · NPI 1417418294

Tequila Chester is a Counselor in Ellenwood, Georgia. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

4818 Silverbush Ln
Ellenwood, GA 30294-6710
Phone: (774) 302-9476
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Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1417418294
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 26, 2019
Last updated in NPPESMarch 26, 2019
Mailing address4818 Silverbush Ln, Ellenwood, GA 30294-6710

Other providers in Ellenwood