MEDICARE: ANNA CHATELLE

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

General Provider Information

NPI Number	:	1366970790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA CHATELLE

Provider Business Mailing Address
First Line	:	3732 LAKESIDE DR STE 202
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-4519
Country	:	US
Telephone Number	:	320-905-4345
Fax Number	:

Provider Business Practice Location Address
First Line	:	3732 LAKESIDE DR STE 202
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-4519
Country	:	US
Telephone Number	:	320-905-4345
Fax Number	:

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

Provider Enumeration Date	:	05/30/2017
Last Update Date	:	03/06/2023

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Directions to “ ANNA CHATELLE ” Practice Location

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