Individual
KATELYN OCTAVIA POLLET CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCASA, MA, QP
Contact information
Practice address
118 NEW STATESIDE DR, CHAPEL HILL, NC 27516-1165
(919) 942-2803
Mailing address
104 NEW STATESIDE DR, CHAPEL HILL, NC 27516-1165
(919) 942-2803
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22201
NC
Other
Enumeration date
11/16/2015
Last updated
12/07/2015
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