Provider Demographics
NPI:1023331634
Name:CHAPIN, PATRICIA SUE (LPC)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:SUE
Last Name:CHAPIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MCAS BOX 99132
Mailing Address - Street 2:MCCS, M&FS, COUNSELING SERVICES BRANCH
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85369-9132
Mailing Address - Country:US
Mailing Address - Phone:928-269-2561
Mailing Address - Fax:
Practice Address - Street 1:MCAS BOX 99132
Practice Address - Street 2:MCCS, M&FS, COUNSELING SERVICES BRANCH
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85369-9132
Practice Address - Country:US
Practice Address - Phone:928-269-2561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLPC-1024101YP2500X
MO2005024275101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2005024275OtherLICENSED PROFESSIONAL COUNSELOR
WYLPC-1024OtherLICENSED PROFESSIONAL COUNSELOR