Individual
SHANTI CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 HOTEL CT, BEREA, KY 40403-8489
(859) 762-2230
Mailing address
330 HOTEL CT, BEREA, KY 40403-8489
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
KY
175T00000X
Peer Specialist
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
10/04/2022
Last updated
04/21/2026
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