Provider Demographics
NPI:1578009312
Name:CHARTIER, DEVON (LPCA)
Entity Type:Individual
Prefix:
First Name:DEVON
Middle Name:
Last Name:CHARTIER
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:LIZA
Other - Middle Name:
Other - Last Name:CHARTIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPCA
Mailing Address - Street 1:5613 DURALEIGH RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-2694
Mailing Address - Country:US
Mailing Address - Phone:919-782-4597
Mailing Address - Fax:919-784-0089
Practice Address - Street 1:5613 DURALEIGH RD
Practice Address - Street 2:SUITE 101
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-2694
Practice Address - Country:US
Practice Address - Phone:919-782-4597
Practice Address - Fax:919-784-0089
Is Sole Proprietor?:No
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA12433101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health