Provider Demographics
NPI:1235537903
Name:CHAFFIN, CHANDRA (LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:CHANDRA
Middle Name:
Last Name:CHAFFIN
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 MEADOWCREST ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-5256
Mailing Address - Country:US
Mailing Address - Phone:504-361-9573
Mailing Address - Fax:504-304-3754
Practice Address - Street 1:151 MEADOWCREST ST
Practice Address - Street 2:SUITE C
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-5256
Practice Address - Country:US
Practice Address - Phone:504-361-9573
Practice Address - Fax:504-304-3754
Is Sole Proprietor?:No
Enumeration Date:2014-12-12
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5797101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional