Provider Demographics
NPI:1780342923
Name:CHESSER, ERICA RAE (LPC)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:RAE
Last Name:CHESSER
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 1:248 RYANS RUNN
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:GA
Mailing Address - Zip Code:30549
Mailing Address - Country:US
Mailing Address - Phone:404-423-7810
Mailing Address - Fax:
Practice Address - Street 1:5975 PKWY NORTH BLVD STE D
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-8255
Practice Address - Country:US
Practice Address - Phone:404-388-3909
Practice Address - Fax:678-712-1945
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
GALPC012202OtherLPC