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Contact Information

SHAUN CHESNUT
365 WHISKEYHILL RD.
WATSONVILLE, CA95076
 Phone: 831-724-9333
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Case Manager/Care Coordinator

171M00000X
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for SHAUN CHESNUT · (Male)

NPI # 1467710509
Status Active
Credentials
Entity Individual
Enumeration date 04/26/2012
Last updated 02/09/2017 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA Other ZZZ92069Z SANTA CRUZ MEDICAL GROUP PTAN#
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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