Healthcare Provider Details

I. General information

NPI: 1073064366
Provider Name (Legal Business Name): ASSIA CHAINA MS, LPC, NCC,CCTP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2016
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

935 E CHOCOLATE AVE
HERSHEY PA
17033-1216
US

IV. Provider business mailing address

935 E CHOCOLATE AVE
HERSHEY PA
17033-1216
US

V. Phone/Fax

Practice location:
  • Phone: 717-503-6579
  • Fax:
Mailing address:
  • Phone: 717-462-7003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC017692
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: