Provider Demographics
NPI:1780870147
Name:CHENOWETH, JOHN JAMES (LPC)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:JAMES
Last Name:CHENOWETH
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 96
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81602-0096
Mailing Address - Country:US
Mailing Address - Phone:970-945-8598
Mailing Address - Fax:970-984-9654
Practice Address - Street 1:1322 GRAND AVE
Practice Address - Street 2:
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-3806
Practice Address - Country:US
Practice Address - Phone:970-945-8598
Practice Address - Fax:970-984-9654
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO255170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS