Kalyn Chattelle, BA

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Providence, RI

NPI 1336718246 · NPPES record last updated Jun 24, 2021

Key facts

NPI
1336718246
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
66 Pavilion Ave
Providence, RI 02905-1522
Phone
(401) 461-9110
NPI assigned
Jun 24, 2021
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
Credentials
Bachelor of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

66 Pavilion Ave
Providence, RI 02905-1522

Mailing address

524 Charles St Apt 2R
Providence, RI 02904-2237
Phone (401) 500-2739

Electronic endpoints

TypeEndpointUseAffiliation
Other URL Kalyn.Chattelle@ctcprograms.com Other

Other providers in Providence, RI

All providers in Providence, RI · Addiction (Substance Use Disorder) Counselor in Rhode Island

Sources for this page

Verify at the official NPI Registry.