Individual
CHRISTINA MARIE CHEWNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2430 ESTANCIA BLVD, CLEARWATER, FL 33761-2631
(727) 424-4661
Mailing address
138 SUNLIT COVE DR NE, ST PETERSBURG, FL 33702-3228
(727) 424-4661
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH17594
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IMH17594
REGISTERED MENTAL HEALTH COUNSELOR INTERN
FL
Enumeration date
09/23/2020
Last updated
09/23/2020
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