Individual
MRS. JILL N CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0708046
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07100011100
QUAL-CHOICE
AR
01
—
1043337553
UNITY MGED MH A/K/A ST JOHN'S MMH
AR
01
—
1082913
USA MGED CARE
AR
05
—
116399726
—
AR
01
—
2431377
CIGNA
AR
01
—
710401764
MHNET
AR
01
—
710401764
ST JOHNS MERCY MBH
—
Enumeration date
03/22/2007
Last updated
12/30/2010
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