Provider Demographics
NPI:1891916342
Name:CALVENEAU, SHANTEL ROSE (MHFRA)
Entity Type:Individual
Prefix:
First Name:SHANTEL
Middle Name:ROSE
Last Name:CALVENEAU
Suffix:
Gender:F
Credentials:MHFRA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 W B ST STE I
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97477-4575
Mailing Address - Country:US
Mailing Address - Phone:541-988-1025
Mailing Address - Fax:541-988-1022
Practice Address - Street 1:175 W B ST STE I
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-4575
Practice Address - Country:US
Practice Address - Phone:541-988-1025
Practice Address - Fax:541-988-1022
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health