Provider Demographics
NPI:1750757985
Name:CHAILLE, AIMEE (LMFT)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:CHAILLE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8946 W STEVE ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:ID
Mailing Address - Zip Code:83714-5170
Mailing Address - Country:US
Mailing Address - Phone:425-802-9120
Mailing Address - Fax:
Practice Address - Street 1:8946 W STEVE ST
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:ID
Practice Address - Zip Code:83714-5170
Practice Address - Country:US
Practice Address - Phone:425-802-9120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-11
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID7699106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist