MEDICARE: MS. CINDA CHESSON CAIELLA LMFT

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
1	106H00000X	Marriage & Family Therapist	0717000234	VA

General Provider Information

NPI Number	:	1326192121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CINDA CHESSON CAIELLA LMFT

Provider Business Mailing Address
First Line	:	1505 LAUDERDALE DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23238-5007
Country	:	US
Telephone Number	:	804-741-0656
Fax Number	:	804-475-2830

Provider Business Practice Location Address
First Line	:	1505 LAUDERDALE DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23238-5007
Country	:	US
Telephone Number	:	804-741-0656
Fax Number	:	804-475-2830

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	12/05/2016

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