CHENELLE GOULD


Address: 4018 Elmora Ave, Baltimore, MD 21213-2120
Phone: 4434181068

CHENELLE GOULD (NPI# 1578189668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578189668
Entity Type Individual
Full Name CHENELLE GOULD
Practice Address 4018 Elmora Ave
Baltimore
MD 21213-2120
Practice Telephone 4434181068
Mailing Telephone 4434181068
Enumeration Date 2020-06-24
Last Update Date 2020-06-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 4018 ELMORA AVE
City BALTIMORE
State MD
Zip Code 21213-2120

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21213

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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