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NPI Code Detail

MEDICARE: CHAUNCY CHRISTIAN DOAN LPC

MEDICARE: CHAUNCY CHRISTIAN DOAN LPC
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 Counselor0701013906VA

General Provider Information

NPI Number : 1134953672
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAUNCY CHRISTIAN DOAN LPC
Provider Business Mailing Address
First Line : 158 MAGNOLIA LN APT A
Second Line :
City : RURAL RETREAT
State : VA
Zip : 24368-6091
Country : US
Telephone Number : 276-613-7731
Fax Number :
Provider Business Practice Location Address
First Line : 210 CALHOUN ST
Second Line :
City : GALAX
State : VA
Zip : 24333-3806
Country : US
Telephone Number : 276-601-2749
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2024
Last Update Date : 08/28/2024

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Directions to “ CHAUNCY CHRISTIAN DOAN LPC” Practice Location

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