Provider Demographics
NPI:1760370407
Name:GERMAN, CHESNEA
Entity type:Individual
Prefix:
First Name:CHESNEA
Middle Name:
Last Name:GERMAN
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1131 WESTRAC DR S STE 100
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-2374
Mailing Address - Country:US
Mailing Address - Phone:701-232-0760
Mailing Address - Fax:701-671-9008
Practice Address - Street 1:1131 WESTRAC DR S STE 100
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-2374
Practice Address - Country:US
Practice Address - Phone:701-232-0760
Practice Address - Fax:701-671-9008
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional