Individual provider · Type 1 NPI
Stacy Marie Chinevere I
Mental Health Counselor · Jackson, MI
NPI number
1942537097
Active
Practice location
326 Johnson St
Jackson, MI 49203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 516777585266 (MI) |
Mental Health Counselor: Definition to come...
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About NPI 1942537097
Stacy Marie Chinevere I's National Provider Identifier is 1942537097, issued on Nov 11, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MI. The record was last updated on Nov 11, 2009.