Provider Demographics
NPI:1326652322
Name:HANSEN-AUGELLO, CHLOE JEANNETTE (LMHC)
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:JEANNETTE
Last Name:HANSEN-AUGELLO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:194 ROBINSON AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-6216
Mailing Address - Country:US
Mailing Address - Phone:718-208-3242
Mailing Address - Fax:
Practice Address - Street 1:194 ROBINSON AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-6216
Practice Address - Country:US
Practice Address - Phone:718-208-3242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-07
Last Update Date:2020-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007982101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health