Provider Demographics
NPI:1396539946
Name:ARBOGAST, CHANDRA L (PLPC)
Entity type:Individual
Prefix:
First Name:CHANDRA
Middle Name:L
Last Name:ARBOGAST
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 E CHESTNUT EXPY STE 800
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65802-6311
Mailing Address - Country:US
Mailing Address - Phone:417-501-5726
Mailing Address - Fax:
Practice Address - Street 1:3003 E CHESTNUT EXPY STE 800
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65802-6311
Practice Address - Country:US
Practice Address - Phone:417-501-5726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025010944101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health