Provider Demographics
NPI:1225507858
Name:CHANDLER, DARRYL JOSEPH (MSW, CAC, ICADC)
Entity Type:Individual
Prefix:MR
First Name:DARRYL
Middle Name:JOSEPH
Last Name:CHANDLER
Suffix:
Gender:M
Credentials:MSW, CAC, ICADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4103 LAC COUTURE DR
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-6514
Mailing Address - Country:US
Mailing Address - Phone:504-368-9935
Mailing Address - Fax:504-368-9918
Practice Address - Street 1:4103 LAC COUTURE DR
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-6514
Practice Address - Country:US
Practice Address - Phone:504-368-9935
Practice Address - Fax:504-368-9918
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-13
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical