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NPI Code Detail

MEDICARE: CHASE COUNSELING AND CONSULTING SERVICES LLC

MEDICARE: CHASE COUNSELING AND CONSULTING SERVICES LLC
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

General Provider Information

NPI Number : 1174148589
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHASE COUNSELING AND CONSULTING SERVICES LLC
Provider Business Mailing Address
First Line : 2300 WASHINGTON PL NE APT 423
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-1061
Country : US
Telephone Number : 202-468-8823
Fax Number :
Provider Business Practice Location Address
First Line : 1140 3RD ST NE FL 2
Second Line :
City : WASHINGTON
State : DC
Zip : 20002-6723
Country : US
Telephone Number : 202-468-8823
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. BRIDGETTE W CHASE
Credential :
Telephone Number : 202-468-8823
Provider Enumeration Date : 06/11/2020
Last Update Date : 06/11/2020

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Directions to “CHASE COUNSELING AND CONSULTING SERVICES LLC ” Practice Location

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