Provider Demographics
NPI:1669280863
Name:BLOT, CHENOA (LMHC)
Entity type:Individual
Prefix:MS
First Name:CHENOA
Middle Name:
Last Name:BLOT
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 535
Mailing Address - Street 2:
Mailing Address - City:MOROVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00687-0535
Mailing Address - Country:US
Mailing Address - Phone:787-412-5251
Mailing Address - Fax:
Practice Address - Street 1:CARR 619 KM 2.5
Practice Address - Street 2:BO. CUCHILLAS SECTOR OTERO
Practice Address - City:MOROVIS
Practice Address - State:PR
Practice Address - Zip Code:00687
Practice Address - Country:US
Practice Address - Phone:787-412-5251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR003103101YM0800X
171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171400000XOther Service ProvidersHealth & Wellness Coach