Provider Demographics
NPI:1356866628
Name:CHEVALIER, KERRY ELAINE (PHD, LPCC-S)
Entity Type:Individual
Prefix:DR
First Name:KERRY
Middle Name:ELAINE
Last Name:CHEVALIER
Suffix:
Gender:F
Credentials:PHD, LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8200 COX RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-2704
Mailing Address - Country:US
Mailing Address - Phone:513-777-2258
Mailing Address - Fax:513-777-1908
Practice Address - Street 1:8200 COX RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2704
Practice Address - Country:US
Practice Address - Phone:513-777-2258
Practice Address - Fax:513-777-1908
Is Sole Proprietor?:No
Enumeration Date:2017-08-08
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0002492-SUPV101Y00000X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional