Chelsea Cauri, Michelle Carter
Individual provider Active NPI Counselor · Rock Island, IL
NPI 1396370508 · NPPES record last updated Mar 8, 2020
Key facts
- NPI
- 1396370508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 2701 17TH St
Rock Island, IL 61201-5351 - Phone
- (309) 779-2031
- NPI assigned
- Mar 8, 2020
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
2701 17TH St
Rock Island, IL 61201-5351
Mailing address
2701 17TH St
Rock Island, IL 61201-5351
Phone (309) 779-2031
Other providers in Rock Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2020. 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.