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NPI Code Detail

MEDICARE: JULIE CHINNI

MEDICARE:   JULIE  CHINNI
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 Counselor76368TX

General Provider Information

NPI Number : 1760050314
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE CHINNI
Provider Business Mailing Address
First Line : 3326 CHARLESTON LN
Second Line :
City : CIBOLO
State : TX
Zip : 78108-2000
Country : US
Telephone Number : 210-391-1526
Fax Number :
Provider Business Practice Location Address
First Line : 3326 CHARLESTON LN
Second Line :
City : CIBOLO
State : TX
Zip : 78108-2000
Country : US
Telephone Number : 210-391-1526
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2021
Last Update Date : 06/10/2021

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Directions to “ JULIE CHINNI ” Practice Location

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