Individual
JASON CHIPPEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
41 MONTEBELLO RD, SUITE 202, PUEBLO, CO 81001-1379
(719) 545-2746
(719) 542-9638
Mailing address
1016 W SAGINAW DR, PUEBLO WEST, CO 81007-7002
(719) 531-7785
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.00000133
CO
Other
Enumeration date
09/26/2006
Last updated
02/16/2017
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