Individual
DUSTIN CRAIG CHENNAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
209 PAULINE DR, BEREA, KY 40403-8889
(859) 986-1259
Mailing address
1240 E 9TH ST RM 1907, CLEVELAND, OH 44199-9904
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW19021
FL
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
05/11/2026
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