Healthcare Provider Details

I. General information

NPI: 1346177649
Provider Name (Legal Business Name): JOSHUA CHENARD MA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 ELM ST STE 310
DEDHAM MA
02026-4530
US

IV. Provider business mailing address

74 VILLAGE GRN N APT D
RIVERSIDE RI
02915-3927
US

V. Phone/Fax

Practice location:
  • Phone: 781-214-6590
  • Fax:
Mailing address:
  • Phone: 575-312-8718
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: