Provider Demographics
NPI:1376731430
Name:CHAPMAN, JESSICA E (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:E
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 VICTORIA ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-5530
Mailing Address - Country:US
Mailing Address - Phone:940-689-9141
Mailing Address - Fax:
Practice Address - Street 1:2804 ELLIOTT ST
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-2703
Practice Address - Country:US
Practice Address - Phone:940-704-7316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-12
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61779101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional