Individual
CHRISTINA MARIA CHANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
120 S MAPLE ST STE 2, WINCHESTER, KY 40391-1928
(859) 987-5090
(859) 987-5006
Mailing address
PO BOX 336, WINCHESTER, KY 40392-0336
(859) 927-3013
(859) 203-0662
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3734
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3734
LICENSE
KY
05
—
7100373650
—
KY
Enumeration date
05/07/2015
Last updated
03/27/2020
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