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Individual

CHANTEL OKEWOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
382 CARRIAGE HOUSE DR STE D, JACKSON, TN 38305-2299
(602) 391-0044
Mailing address
382 CARRIAGE HOUSE DR STE D, JACKSON, TN 38305-2299
(602) 391-0044

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103G00000X
Clinical Neuropsychologist
3935
TN
103TC0700X
Clinical Psychologist
Primary
3935
TN

Other

Enumeration date
05/20/2019
Last updated
07/02/2024
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