Individual
ALLEY FANESI CHADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW, LICDC, LCSW
Contact information
Practice address
11137 US HIGHWAY 52, BROOKVILLE, IN 47012-7901
(765) 647-5126
Mailing address
423 FOOTE AVE, BELLEVUE, KY 41073-1501
(859) 630-0350
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
161867
OH
1041C0700X
Clinical Social Worker
Primary
1801136
OH
1041C0700X
Clinical Social Worker
34009220A
IN
Other
Enumeration date
02/04/2021
Last updated
04/18/2024
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