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General NPI Number Information
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NPI Number | 1952886525
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Entity Type | Individual
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Provider Name | CASSANDRA JO CHAPMAN LPC
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Gender | Female
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Dates
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Enumeration Date | 09/30/2018
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Last Update Date | 06/03/2019
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Provider Practice Location Address
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Address Line | 689 CENTRAL AVE
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1315
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Country | US
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Telephone | 304-733-3331
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Fax | 304-733-3334
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Provider Business Mailing Address
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Address Line | 157 HONEYSUCKLE LN
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City | HUNTINGTON
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State | WV
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Zip | 25701-4725
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Country | US
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Telephone | 304-730-2239
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2432
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License Number State | WV
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