Provider Demographics
NPI:1043480536
Name:CHOJNACKI, CHARLES DENNIS (ASD BEH SPECIALIST)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:DENNIS
Last Name:CHOJNACKI
Suffix:
Gender:M
Credentials:ASD BEH SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2316 MASTERSON CT
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-2381
Mailing Address - Country:US
Mailing Address - Phone:707-291-5205
Mailing Address - Fax:707-546-2873
Practice Address - Street 1:2316 MASTERSON CT
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-2381
Practice Address - Country:US
Practice Address - Phone:707-291-5205
Practice Address - Fax:707-546-2873
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor