Chante D Park
Addiction Psychologist (Substance Use Disorder)
1180 Third Ave
Chula Vista
, California 91911-3139
Chante D Park
Addiction Psychologist (Substance Use Disorder)
1180 Third Ave
Chula Vista
, California 91911-3139
(619) 913-5374
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Chante D Park
- 408 30th St
- San Diego, CA
- Zip : 92102-4159
- Phone : (619) 913-5374
Second Address
- Chante D Park
- 1180 Third Ave
- Chula Vista, CA
- Zip : 91911-3139
- Phone : (619) 691-8164
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) |
National Provider Identifier
| NPI | 1477128064 |
|---|---|
| Provider Name | Chante D Park |
| First Address | San Diego, CA 92102-4159 |
| Second Address | Chula Vista, CA 91911-3139 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2021 |
| Last Update Date | 25/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.