Provider Demographics
NPI:1982304515
Name:CHAPMAN, JACOB (MS)
Entity Type:Individual
Prefix:
First Name:JACOB
Middle Name:
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 W 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99501-2018
Mailing Address - Country:US
Mailing Address - Phone:907-921-2014
Mailing Address - Fax:
Practice Address - Street 1:814 W 2ND AVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-2031
Practice Address - Country:US
Practice Address - Phone:907-921-2014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor