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Gabrielle Chudnow, MA
Mental Health Counselor in Vineyard Haven, Massachusetts
NPI 1669097325

Gabrielle Chudnow is a Mental Health Counselor based in Vineyard Haven, MA and is specialized in Mental Health. Gabrielle Chudnow practices in Vineyard Haven, MA and has the professional credentials of MA. The NPI Number for Gabrielle Chudnow is 1669097325 and holds a License No. (Massachusetts).

The current practice location address for Gabrielle Chudnow is 111 Edgartown Rd, Vineyard Haven, MA and can be reached out via phone at 508-684-8620.

Location: 111 Edgartown Rd, Vineyard Haven, MA, 02568-5695
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669097325
Provider Name
Gabrielle Chudnow
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
111 Edgartown Rd, Vineyard Haven, MA, 02568-5695
Phone Number
508-684-8620
Fax Number
Provider Enumeration Date
06/09/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1669097325 05 MA
institution
Provider Business Practice Location Address Details
Address
111 Edgartown Rd
City
Vineyard Haven
State
Massachusetts
Zip
02568-5699
Phone Number
508-684-8620
Fax Number
person
Provider Business Mailing Address Details
Address
111 Edgartown Rd
City
Vineyard Haven
State
Massachusetts
Zip
02568-5699
Phone Number
508-684-8620
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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