Nils Bethel Chandler LPC

NPI 1396890489 - Counselor - 101YA0400X

NPI Details
NPI 1396890489
Gender Female
Enumeration Date 01/25/2007
Last Updated 10/03/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
183 ACADEMIC DR
BUILDING NUMBER 39721
FORT GORDON GA, 30905-5933, US
Phone (706) 951-0829
Fax (706) 787-8682
Business Location
1112 FOX DEN RD
HEPHZIBAH GA, 30815-6927, US
Phone (706) 951-0829
Fax (706) 787-8286
Toxanomy
Taxonomy Code 101YA0400X
License State Georgia
License Number 1780
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According to our database, Nils Bethel Chandler LPC NPI is 1396890489, taxonomy code is 101YA0400X and license number is 1780, license state is located at Georgia. Nils Bethel Chandler LPC physically located at 183 Academic Dr, Fort Gordon GA, 30905-5933. NPI Number Nils Bethel Chandler LPC has the Individual type.

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1396890489 NPI number is provided on an as is basis without warranty of any kind. 1396890489 is maintained by the National Plan & Provider Enumeration System. The contents of Nils Bethel Chandler LPC are for informational purposes only.