Provider Demographics
NPI:1598206484
Name:CHAPMAN, KARA UTEVE
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:UTEVE
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 FRANKLIN ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MICHIGAN CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46360-3474
Mailing Address - Country:US
Mailing Address - Phone:219-252-5464
Mailing Address - Fax:219-728-1860
Practice Address - Street 1:601 FRANKLIN ST
Practice Address - Street 2:SUITE 103
Practice Address - City:MICHIGAN CITY
Practice Address - State:IN
Practice Address - Zip Code:46360-3474
Practice Address - Country:US
Practice Address - Phone:219-252-5464
Practice Address - Fax:219-728-1860
Is Sole Proprietor?:No
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional