Provider Demographics
NPI:1619201100
Name:CHAPMAN, PATRICK STONE (EDD, LPC)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:STONE
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:EDD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 COUNTY ROAD 703
Mailing Address - Street 2:
Mailing Address - City:BLUE MOUNTAIN
Mailing Address - State:MS
Mailing Address - Zip Code:38610-9669
Mailing Address - Country:US
Mailing Address - Phone:662-587-9772
Mailing Address - Fax:
Practice Address - Street 1:108 E JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:RIPLEY
Practice Address - State:MS
Practice Address - Zip Code:38663-2016
Practice Address - Country:US
Practice Address - Phone:662-587-9772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1012101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor