Doctor Name: | KRISTIN CHAMNESS |
NPI Number: | 1346629466 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LIMHP |
License Number: | 3461 |
Business Practice Address: | 103 E 10th St Ogallala, NE - 691531442 |
Business Phone Number: | 3082846519 |
Business Fax Number: | |
Mailing Address: | 103 E 10th St, P.o. Box 297 OGALLALA |
State: | NE |
Postal Code: | 691531442 |
Phone Number: | 3082846519 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2015 |
NPI Last Update Date: | 05/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 3461 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |