Individual
MADIGAN CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
T-0161171
NM
101YM0800X
Mental Health Counselor
0185571
NM
101YP2500X
Professional Counselor
Primary
CCMH0185571
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z8478
—
NM
Enumeration date
11/01/2013
Last updated
03/15/2021
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