Provider Demographics
NPI:1124664677
Name:SAETTEL, CHONDA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CHONDA
Middle Name:
Last Name:SAETTEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 WALNUT GROVE SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:BONNIEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42713-8495
Mailing Address - Country:US
Mailing Address - Phone:270-537-1215
Mailing Address - Fax:
Practice Address - Street 1:106 CEMETERY RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:KY
Practice Address - Zip Code:40033-1827
Practice Address - Country:US
Practice Address - Phone:270-321-4198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-20
Last Update Date:2024-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical