Chrestman, Madeline Diane

Chrestman, Madeline Diane is an sole proprietor health care provider with primary practice located at 4485 Tench Rd Ste 1220 , Suwanee GA 30024-6742. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Chrestman, Madeline Diane can be contacted via phone (770) 378-6835.

Contact Information

Primary practice address
4485 Tench Rd Ste 1220 Suwanee GA 30024-6742
Phone: (770) 378-6835
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW004747 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CSW004747 Georgia
Behavioral Health & Social Service Providers / Social Worker 104100000X MSW004739 Georgia

Profile Details

NPI number 1992060982
LBN Legal business name Chrestman, Madeline Diane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2012
Last updated Dec 19th, 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.

Request for update

Popular Providers