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NPI Code Detail

MEDICARE: MS. VICTORIA ROBIN CHESSER CDCA

MEDICARE: MS. VICTORIA ROBIN CHESSER CDCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.178492OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932656295
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VICTORIA ROBIN CHESSER CDCA
Provider Business Mailing Address
First Line : 149 MERCY BLVD
Second Line :
City : MOUNT ORAB
State : OH
Zip : 45154-0296
Country : US
Telephone Number : 937-712-3121
Fax Number :
Provider Business Practice Location Address
First Line : 149 MERCY BLVD
Second Line :
City : MOUNT ORAB
State : OH
Zip : 45154-0296
Country : US
Telephone Number : 937-712-3121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2016
Last Update Date : 05/03/2023

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