Provider Demographics
NPI:1982377925
Name:CHICHA, VALERIE BROOK
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:BROOK
Last Name:CHICHA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2811 MAYSVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-9772
Mailing Address - Country:US
Mailing Address - Phone:740-487-1475
Mailing Address - Fax:
Practice Address - Street 1:2811 MAYSVILLE PIKE
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-9772
Practice Address - Country:US
Practice Address - Phone:740-487-1475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator