Provider Demographics
NPI:1730861915
Name:TANEJA, CHANVEEN (LPC ASSOCIATE)
Entity type:Individual
Prefix:
First Name:CHANVEEN
Middle Name:
Last Name:TANEJA
Suffix:
Gender:F
Credentials:LPC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2708 STANDING JUNIPER CT
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-4053
Mailing Address - Country:US
Mailing Address - Phone:908-605-0298
Mailing Address - Fax:
Practice Address - Street 1:2708 STANDING JUNIPER CT
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-4053
Practice Address - Country:US
Practice Address - Phone:908-605-0298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87909101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health