Susan Chenault | Los Angeles, CA • PECOS Search

Susan Chenault

Marriage & Family Therapist

Behavioral Health & Social Service Providers

1355 Westwood Blvd, # 216, Los Angeles, CA 90024

PECOS Enrollment

Based on the most recent information from CMS, provider Susan Chenault does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1023210176
Provider Type
Individual
Full Name
Chenault, Susan
Title
Ms.
Credential
LICENSED MARRIAGE FA

Gender
Female
Sole Proprietor
No
Enumeration Date
6/1/2007
Last Updated
7/8/2007

Contact Information

Practice Location

1355 Westwood Blvd, # 216, Los Angeles, CA 90024

Unlisted Fax

Mailing Location

1355 Westwood Blvd, # 216, Los Angeles, CA 90024

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License MFT22112 California