Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHANTEL LEE WALLACE
Active Sole ProprietorCHANTEL LEE WALLACE is a Mental Health Counselor healthcare provider located in BLACKFOOT, Idaho. NPI 1669234308 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · BLACKFOOT, ID
Registration Details
- NPI Number
- 1669234308
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 29, 2024 (2.5159992587931 yrs)
- Last Updated
- Jan 29, 2024
- License
-
LMSW-43731 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
581 N ASH STBLACKFOOT, ID, 832212223Browse ID providers · Browse ZIP 83221
- Phone
- 2089735077
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in BLACKFOOT, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. TIA THOMAS | LCSW | 1447352067 |
| MR. JOHN D STEPHENSON | LCSW | 1528126158 |
| RUBY LEE WALKER | LPCP | 1225192792 |
| MR. RALPH LYNN RICHARDS | LMSW | 1639460702 |
| MRS. SHARON LEE RIVAS | LCSW | 1710336946 |
| KAYLA PEDIGO | LPC | 1760937148 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.