Individual
CHANTEL STATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2747 SUNSET AVE # 109, ROCKY MOUNT, NC 27804-3751
(252) 985-3216
Mailing address
PO BOX 1351, BETHEL, NC 27812-1351
(252) 560-0647
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NC
Other
Enumeration date
02/12/2020
Last updated
02/27/2020
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