Provider Demographics
NPI:1336650225
Name:CHAMNESS, JEANNE JANEL (MA, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:JANEL
Last Name:CHAMNESS
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3109 W 41ST ST STE 201A
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-4290
Mailing Address - Country:US
Mailing Address - Phone:605-254-3889
Mailing Address - Fax:
Practice Address - Street 1:3109 W 41ST ST STE 201A
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-4290
Practice Address - Country:US
Practice Address - Phone:605-254-3889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-18
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC20195101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health