Provider Demographics
NPI:1457118838
Name:CLABAUGH, CHENEY MICHELLE
Entity Type:Individual
Prefix:
First Name:CHENEY
Middle Name:MICHELLE
Last Name:CLABAUGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHENEY
Other - Middle Name:MICHELLE
Other - Last Name:SPAULDING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2101 BARR DR
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-4931
Mailing Address - Country:US
Mailing Address - Phone:515-408-7435
Mailing Address - Fax:
Practice Address - Street 1:223 S WALNUT AVE
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-6974
Practice Address - Country:US
Practice Address - Phone:515-368-7504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor