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NPI Code Detail

MEDICARE: MS. CHARDONNAY L BADCHKAM LMHC

MEDICARE:  MS. CHARDONNAY L BADCHKAM  LMHC
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 Counselor012827NY

General Provider Information

NPI Number : 1588392658
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHARDONNAY L BADCHKAM LMHC
Provider Business Mailing Address
First Line : 15020 72ND RD APT 1B
Second Line :
City : FLUSHING
State : NY
Zip : 11367-2103
Country : US
Telephone Number : 718-839-2241
Fax Number :
Provider Business Practice Location Address
First Line : 15020 72ND RD APT 1B
Second Line :
City : FLUSHING
State : NY
Zip : 11367-2103
Country : US
Telephone Number : 718-839-2241
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2022
Last Update Date : 04/15/2026

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Directions to “ MS. CHARDONNAY L BADCHKAM LMHC” Practice Location

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