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NPI Code Detail

MEDICARE: MS. SYDNEY L. CHILTON LPC

MEDICARE: MS. SYDNEY L. CHILTON LPC
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 Counselor0070231NM

General Provider Information

NPI Number : 1942417449
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SYDNEY L. CHILTON LPC
Provider Business Mailing Address
First Line : 101 W MORROW ST
Second Line :
City : RATON
State : NM
Zip : 87740-3430
Country : US
Telephone Number : 505-445-8663
Fax Number :
Provider Business Practice Location Address
First Line : 220 4TH AVE
Second Line :
City : RATON
State : NM
Zip : 87740-2643
Country : US
Telephone Number : 505-445-2754
Fax Number : 505-445-2225
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2007
Last Update Date : 07/08/2007

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