Powell, Chaunise

Powell, Chaunise is an individual health care provider with primary practice located at 1290 Ridder Park Dr , San Jose CA 95131-2304. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Powell, Chaunise can be contacted via phone (510) 690-5357.

Contact Information

Primary practice address
1290 Ridder Park Dr San Jose CA 95131-2304
Phone: (510) 690-5357
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 200123056 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 102907 California

Profile Details

NPI number 1437815412
LBN Legal business name Powell, Chaunise
Credentials LCSW, PPS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2021
Last updated Jan 16th, 2022 - 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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