Provider Demographics
NPI:1457064701
Name:GARAY, CHLOEE M (MA, NCC, LMHC-A)
Entity Type:Individual
Prefix:
First Name:CHLOEE
Middle Name:M
Last Name:GARAY
Suffix:
Gender:F
Credentials:MA, NCC, LMHC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5731 W SMALL RD
Mailing Address - Street 2:
Mailing Address - City:LA PORTE
Mailing Address - State:IN
Mailing Address - Zip Code:46350-7808
Mailing Address - Country:US
Mailing Address - Phone:219-767-4221
Mailing Address - Fax:
Practice Address - Street 1:225 ABERDEEN DR STE C
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46385-7761
Practice Address - Country:US
Practice Address - Phone:219-767-4221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88001737A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health