# MR. JASON EDWARD CHANDLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083240550
- **Gender:** Man
- **Credential:** MS, LPCC-S, LICDC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | LICDC.162169 | OH | — |
| 101YM0800X | Mental Health Counselor | 39004679A | IN | — |
| 101YM0800X | Mental Health Counselor | E.2202902-SUPV | OH | Yes |
| 101YP2500X | Professional Counselor | E.2202902-SUPV | OH | — |

## Other

- **Enumeration date:** 03/17/2020
- **Last updated:** 03/22/2024