Wallace, Chantel Lee
Wallace, Chantel Lee is an sole proprietor health care provider with primary practice located at 581 N Ash St , Blackfoot ID 83221-2223. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wallace, Chantel Lee can be contacted via phone (208) 973-5077.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LMSW-43731 | Idaho |
Profile Details
| NPI number | 1669234308 |
|---|---|
| LBN Legal business name | Wallace, Chantel Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2024 |
| Last updated | Jan 29th, 2024 - about 2 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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