Provider Demographics
NPI:1326054719
Name:CHEMSAK, MAUREEN JEANNE (LPC)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:JEANNE
Last Name:CHEMSAK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 WINDSOR WAY
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-8628
Mailing Address - Country:US
Mailing Address - Phone:256-722-0449
Mailing Address - Fax:
Practice Address - Street 1:8215 MADISON BLVD
Practice Address - Street 2:SUITE 128
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-2017
Practice Address - Country:US
Practice Address - Phone:256-772-7900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL954101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional