Individual
MRS. AMELIA CHENOWETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2021 S WAVERLY AVE STE 700, SPRINGFIELD, MO 65804-2400
(417) 860-8684
Mailing address
2155 E BERKELEY ST, SPRINGFIELD, MO 65804-3336
(417) 860-8684
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
CS001233
MO
101YS0200X
School Counselor
0031844
MO
1041C0700X
Clinical Social Worker
Primary
SW003563
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493520837
—
MO
05
—
493520852
—
MO
Enumeration date
11/08/2006
Last updated
03/26/2011
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