Provider Demographics
NPI:1720713258
Name:MCLAUGHLIN, CHANDRA RICHARDS (MFTC)
Entity Type:Individual
Prefix:
First Name:CHANDRA
Middle Name:RICHARDS
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:MFTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2309 FAIRFAX ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-3218
Mailing Address - Country:US
Mailing Address - Phone:310-994-7966
Mailing Address - Fax:
Practice Address - Street 1:1133 N PENNSYLVANIA ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2502
Practice Address - Country:US
Practice Address - Phone:303-551-0117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFTC.0014336106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COMFTC.0014336OtherCOLORADO DEPARTMENT OF REGULATORY AGENCIES