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NPI Code Detail

MEDICARE: PRECIOUS CHAPMAN

MEDICARE:   PRECIOUS  CHAPMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1083363766
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRECIOUS CHAPMAN
Provider Business Mailing Address
First Line : 1928 N 78TH GLN
Second Line :
City : PHOENIX
State : AZ
Zip : 85035-5132
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 333 W ROOSEVELT ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85003-1324
Country : US
Telephone Number : 623-210-6199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2022
Last Update Date : 08/07/2024

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Directions to “ PRECIOUS CHAPMAN ” Practice Location

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