Chenelle Naeemah Fullard
Counselor • Chesapeake, VA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Chenelle Fullard has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Chenelle Fullard was a registered Counselor practicing in Chesapeake, VA. Throughout an active medical career spanning 7 years, Chenelle Fullard provided care at the practice location at 2732 JANICE LYNN CT until profile deactivation on 2018-12-20.
Practice Location & Contact Primary Location
2732 Janice Lynn Ct
Chesapeake, VA 233232315
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Chesapeake, VA
Practicing in Chesapeake, VA (1071 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 20, 2018
Registered at 780 LYNNHAVEN PKWY STE 380, VIRGINIA BEACH, VA 23452 (Tel: 7575154648)
Registered at 600 CRAWFORD ST STE 220, PORTSMOUTH, VA 237043820 (Tel: 7574884797)
Counselor (License #0715005481 in VA)
NPI status registered as active in NPPES database
Registered at 2732 JANICE LYNN CT, CHESAPEAKE, VA 233232315 (Tel: 7576106273)
Registered at 2732 JANICE LYNN CT, CHESAPEAKE, VA 233232315 (Tel: 7576106273)
Recorded as CHENELLE FULLARD
Counselor (License #0715005481 in VA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2732 Janice Lynn Ct
Chesapeake, VA 233232315
Phone: 7576106273
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