Chastain Gitthens, Rennie L

Chastain Gitthens, Rennie L is an sole proprietor health care provider with primary practice located at 1726 8Th Ave 2031 N 36, Saint Joseph MO 64505-1811. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Chastain Gitthens, Rennie L can be contacted via phone (816) 262-4494.

Contact Information

Primary practice address
1726 8Th Ave 2031 N 36 Saint Joseph MO 64505-1811
Fax: (816) 364-4737
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 001347 Missouri

Profile Details

NPI number 1306842471
LBN Legal business name Chastain Gitthens, Rennie L
Credentials MSW LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2005
Last updated Mar 23rd, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306842471 NPPES
Missouri MEDICAID 493517619

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