Provider Demographics
NPI:1912114828
Name:CHATEAUNEUF, CLAIRE (MFT)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:CHATEAUNEUF
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1813 LAUREL RD
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-6151
Mailing Address - Country:US
Mailing Address - Phone:760-436-1648
Mailing Address - Fax:760-436-1648
Practice Address - Street 1:1813 LAUREL RD
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6151
Practice Address - Country:US
Practice Address - Phone:760-433-1648
Practice Address - Fax:760-433-1648
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36467106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist