DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: STEPHEN CHANCELLOR PCA

MEDICARE: STEPHEN CHANCELLOR PCA
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 CounselorR12627OR

General Provider Information

NPI Number : 1962361543
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN CHANCELLOR PCA
Provider Business Mailing Address
First Line : 355 MILLER ST SE
Second Line :
City : SALEM
State : OR
Zip : 97302-4247
Country : US
Telephone Number : 971-599-1606
Fax Number :
Provider Business Practice Location Address
First Line : 355 MILLER ST SE
Second Line :
City : SALEM
State : OR
Zip : 97302-4247
Country : US
Telephone Number : 971-599-1606
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

Similar Medicare Providers

1619240587 — BRYAN H HODSON MA, LPC
Practice Location Address:
355 MILLER ST SE
SALEM, OR
97302-4247
Practice Phone: 503-999-2510
Practice Fax:
1114453982 — KORI CHANCELLOR M.A.
Practice Location Address:
355 MILLER ST SE
SALEM, OR
97302-4247
Practice Phone: 971-301-2819
Practice Fax:
1073216578 — QUIDDITY COUNSELING
Practice Location Address:
355 MILLER ST SE
SALEM, OR
97302-4247
Practice Phone: 971-719-8132
Practice Fax:
1669176558 — ANITA JOY HUFFAKER ETHELL
Practice Location Address:
355 MILLER ST SE
SALEM, OR
97302-4247
Practice Phone: 971-719-8132
Practice Fax:
1366216053 — KYMBERLIE ANN ATWOOD MSW, MA PC-A
Practice Location Address:
355 MILLER ST SE
SALEM, OR
97302-4247
Practice Phone: 360-319-5908
Practice Fax:
1124841580 — KORI CHANCELLOR COUNSELING
Practice Location Address:
355 MILLER ST SE
SALEM, OR
97302-4247
Practice Phone: 503-551-0055
Practice Fax:

Directions to “ STEPHEN CHANCELLOR PCA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.