Provider Demographics
NPI:1619006293
Name:CHATROUX, NOEL (LCSW)
Entity Type:Individual
Prefix:
First Name:NOEL
Middle Name:
Last Name:CHATROUX
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 W HERSEY ST STE 1
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1854
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:400 W HERSEY ST
Practice Address - Street 2:STE 3
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1839
Practice Address - Country:US
Practice Address - Phone:541-488-1665
Practice Address - Fax:541-552-1009
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR37151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical