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NPI Code Detail

MEDICARE: MRS. JAIME M CHAIGNAT IMFT-S

MEDICARE: MRS. JAIME M CHAIGNAT IMFT-S
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
1106H00000XMarriage & Family Therapist44576CA
2106H00000XMarriage & Family TherapistF.1800059OH

General Provider Information

NPI Number : 1265572622
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JAIME M CHAIGNAT IMFT-S
Provider Business Mailing Address
First Line : 3737 LANDER RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44124-5712
Country : US
Telephone Number : 216-378-3986
Fax Number : 216-378-3908
Provider Business Practice Location Address
First Line : 13201 GRANGER RD STE 8
Second Line :
City : CLEVELAND
State : OH
Zip : 44125-1979
Country : US
Telephone Number : 216-378-3983
Fax Number : 216-378-3908
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2007
Last Update Date : 08/23/2024

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