Provider Demographics
NPI:1952886525
Name:CHAPMAN, CASSANDRA JO (LPC)
Entity type:Individual
Prefix:MS
First Name:CASSANDRA
Middle Name:JO
Last Name:CHAPMAN
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 1:157 HONEYSUCKLE LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-4725
Mailing Address - Country:US
Mailing Address - Phone:304-730-2239
Mailing Address - Fax:
Practice Address - Street 1:689 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:BARBOURSVILLE
Practice Address - State:WV
Practice Address - Zip Code:25504-1315
Practice Address - Country:US
Practice Address - Phone:304-733-3331
Practice Address - Fax:304-733-3334
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-30
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2432101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health