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NPI Code Detail

MEDICARE: MS. BRIDGETTE CHASE LPC, CAC

MEDICARE:  MS. BRIDGETTE  CHASE  LPC, CAC
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
1101YP2500XProfessional CounselorPRC 890DC
2101YP2500XProfessional Counselor0701012647VA

General Provider Information

NPI Number : 1639208705
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BRIDGETTE CHASE LPC, CAC
Provider Business Mailing Address
First Line : 1820 IRVING ST NE APT 105
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-2445
Country : US
Telephone Number : 202-635-8078
Fax Number :
Provider Business Practice Location Address
First Line : 1005 N GLEBE RD STE 525
Second Line :
City : ARLINGTON
State : VA
Zip : 22201-5792
Country : US
Telephone Number : 804-207-6737
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 11/14/2024

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Directions to “ MS. BRIDGETTE CHASE LPC, CAC” Practice Location

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