Provider Demographics
NPI:1477848075
Name:PINEAU-CHAISSON, JODEE (LMHC)
Entity Type:Individual
Prefix:
First Name:JODEE
Middle Name:
Last Name:PINEAU-CHAISSON
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 1:3449 WATERLOO TER
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34286-7235
Mailing Address - Country:US
Mailing Address - Phone:141-331-3670
Mailing Address - Fax:
Practice Address - Street 1:29 WARREN ST
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-2728
Practice Address - Country:US
Practice Address - Phone:413-313-3670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-13
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10179101YM0800X
106H00000X
FLMH21572101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist