Provider Demographics
NPI:1588300099
Name:MARIANNA CHIOKAN MENTAL HEALTH COUNSELING SRVCS PLLC
Entity type:Organization
Organization Name:MARIANNA CHIOKAN MENTAL HEALTH COUNSELING SRVCS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIOKAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, NCC, CGT
Authorized Official - Phone:646-387-4386
Mailing Address - Street 1:108 S MILL ST
Mailing Address - Street 2:
Mailing Address - City:CHESTERTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21620-1337
Mailing Address - Country:US
Mailing Address - Phone:646-387-4386
Mailing Address - Fax:
Practice Address - Street 1:303 5TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6601
Practice Address - Country:US
Practice Address - Phone:646-387-4386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARIANNA CHIOKAN MENTAL HEALTH COUNSELING SRVCS PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-08
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty