Hoogland, Chantelle Jessica

Hoogland, Chantelle Jessica is an individual health care provider with primary practice located at 250 Prairie Center Dr Ste 202 , Eden Prairie MN 55344-7911. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Hoogland, Chantelle Jessica can be contacted via phone (952) 388-9204.

Contact Information

Primary practice address
250 Prairie Center Dr Ste 202 Eden Prairie MN 55344-7911
Phone: (952) 388-9204
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 304850 Minnesota
Behavioral Health & Social Service Providers / Professional 101YP2500X CC01230 Minnesota

Profile Details

NPI number 1225164536
LBN Legal business name Hoogland, Chantelle Jessica
Credentials LPCC, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated May 4th, 2018 - about 6 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 1225164536 NPPES
California Other 101076 DRUG MEDI-CAL BILLING #

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