Individual
ATHENA CHASTEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2958 CARATOKE HWY, CURRITUCK COUNTY SCHOOLS, CURRITUCK, NC 27929-9612
(252) 435-4808
Mailing address
PO BOX 281, CAMDEN, NC 27921-0281
(252) 435-4808
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006874
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12197150
CAQH UNIVERSAL PROVIDER DATASOURCE
—
Enumeration date
11/24/2010
Last updated
08/27/2012
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