Mateo, Chanel Gray
Mateo, Chanel Gray is an individual health care provider with primary practice located at 1650 Cochrane Cir , Fort Carson CO 80913-4613. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Mateo, Chanel Gray can be contacted via phone (719) 526-0198.Contact Information
Primary practice address
1650 Cochrane Cir
Fort Carson CO 80913-4613
Phone: (719) 526-0198
Fax: (719) 526-2452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | Q1-0001795 | Delaware |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Q1-0001795 | Delaware |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 100381-1 | New York |
Profile Details
| NPI number | 1114432234 |
|---|---|
| LBN Legal business name | Mateo, Chanel Gray |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2017 |
| Last updated | Jan 25th, 2021 - about 3 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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