Provider Demographics
NPI:1760439426
Name:CHUNIS, SHEILA M (LPC)
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:M
Last Name:CHUNIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2317 SILAS DEANE HWY
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-2341
Mailing Address - Country:US
Mailing Address - Phone:860-833-7473
Mailing Address - Fax:860-499-5312
Practice Address - Street 1:2317 SILAS DEANE HWY
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-2341
Practice Address - Country:US
Practice Address - Phone:860-833-7473
Practice Address - Fax:860-499-5312
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-28
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001139101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional