Chanco, Carol Ann
Chanco, Carol Ann is an sole proprietor health care provider with primary practice located at 3411 Englewood Dr , Pearland TX 77584-9187. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Chanco, Carol Ann can be contacted via phone (281) 692-0021.Contact Information
Primary practice address
3411 Englewood Dr
Pearland TX 77584-9187
Phone: (281) 692-0021
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 29015 | Texas |
Profile Details
| NPI number | 1427259589 |
|---|---|
| LBN Legal business name | Chanco, Carol Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 29th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427259589 | NPPES |
| Texas | Other | 29015 | SOCIAL WORK LICENSE |
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