Annette Chastain
Individual provider Active NPI Mental Health Counselor · Madras, OR
NPI 1295026797 · NPPES record last updated May 2, 2011
Key facts
- NPI
- 1295026797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 125 SW C St
Madras, OR 97741 - Phone
- (541) 475-6575
- Fax
- (541) 475-6196
- NPI assigned
- May 2, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
125 SW C St
Madras, OR 97741
Mailing address
125 SW C St
Madras, OR 97741
Phone (541) 475-6575
Other providers in Madras, OR
- Cascade Medical Imaging LLC
- Amy Caudill
- Central Oregon Chiropractic Service PC
- Central Oregon Eyecare, PC
- Cep America - Neurology PC
- Natalie Chavez
- Richard Choate
- Shawna D Choin
- Candy Cisneros
- William C Claridge
All providers in Madras, OR · Mental Health Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.