Provider Demographics
NPI:1902228026
Name:CHENOWETH, DANIELLE AMALIA OSTI (LCPC)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:AMALIA OSTI
Last Name:CHENOWETH
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 161354
Mailing Address - Street 2:
Mailing Address - City:BIG SKY
Mailing Address - State:MT
Mailing Address - Zip Code:59716-1354
Mailing Address - Country:US
Mailing Address - Phone:406-225-7797
Mailing Address - Fax:
Practice Address - Street 1:47855 GALLATIN RD
Practice Address - Street 2:
Practice Address - City:GALLATIN GATEWAY
Practice Address - State:MT
Practice Address - Zip Code:59730-8681
Practice Address - Country:US
Practice Address - Phone:406-225-7797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-08
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health