Provider Demographics
NPI:1902379183
Name:CHAPMAN, COURTNEY A (LPC, NCC, CCTP)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:A
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:LPC, NCC, CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 FOXCROFT AVE STE 100A
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25401-5341
Mailing Address - Country:US
Mailing Address - Phone:304-263-6776
Mailing Address - Fax:
Practice Address - Street 1:7796 WINCHESTER AVE # 191
Practice Address - Street 2:
Practice Address - City:INWOOD
Practice Address - State:WV
Practice Address - Zip Code:25428-4590
Practice Address - Country:US
Practice Address - Phone:304-263-6776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-09
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV934009101Y00000X
WV2397101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty