Individual
KAREN CHENAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
125901085
NM
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125901085
CASE MANAGER
NM
Enumeration date
09/11/2015
Last updated
11/19/2024
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