Provider Demographics
NPI:1891514766
Name:CHONOU, VANESSA LILIAN (MHC-LP)
Entity type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:LILIAN
Last Name:CHONOU
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 FLATBUSH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-1160
Mailing Address - Country:US
Mailing Address - Phone:413-274-8036
Mailing Address - Fax:
Practice Address - Street 1:41 FLATBUSH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-1160
Practice Address - Country:US
Practice Address - Phone:413-274-8036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-08
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP130748101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health