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Individual

ANDREW J CHANDLER III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, LSATP, CSOTP

Contact information

Practice address
2160 CHURCH ST # 1, APPOMATTOX, VA 24522
(434) 401-4104
(434) 664-1587
Mailing address
369 SOYBEAN DR, APPOMATTOX, VA 24522-4308
(434) 401-4104
(434) 664-1587

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006147
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004945450
VA
Enumeration date
05/21/2015
Last updated
01/11/2023
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