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NPI Code Detail

MEDICARE: MIRELLE CHATEIGNE

MEDICARE: MIRELLE CHATEIGNE
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
1101Y00000XCounselor10629ANC

General Provider Information

NPI Number : 1326902834
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRELLE CHATEIGNE
Provider Business Mailing Address
First Line : 205 IRONWOOD BLVD
Second Line :
City : YOUNGSVILLE
State : NC
Zip : 27596-4506
Country : US
Telephone Number : 619-925-0782
Fax Number :
Provider Business Practice Location Address
First Line : 851 DURHAM RD STE B
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-3301
Country : US
Telephone Number : 919-891-0521
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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Directions to “ MIRELLE CHATEIGNE ” Practice Location

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