Provider Demographics
NPI:1356575021
Name:CAPLE, CHANDRA MALETTE (MED, LPC)
Entity type:Individual
Prefix:MS
First Name:CHANDRA
Middle Name:MALETTE
Last Name:CAPLE
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 38
Mailing Address - Street 2:
Mailing Address - City:WENTWORTH
Mailing Address - State:NC
Mailing Address - Zip Code:27375-0038
Mailing Address - Country:US
Mailing Address - Phone:336-342-4261
Mailing Address - Fax:
Practice Address - Street 1:215 WRENN MEMORIAL ROAD, HWY 65
Practice Address - Street 2:
Practice Address - City:WENTWORTH
Practice Address - State:NC
Practice Address - Zip Code:27375-0038
Practice Address - Country:US
Practice Address - Phone:336-342-4261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-11
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3740101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor