Individual
MICHELLE CHAFFARDET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 HIGHLAND ST, COCOA, FL 32922-7523
(305) 970-5519
(305) 970-5519
Mailing address
126 HIGHLAND ST, COCOA, FL 32922-7523
(305) 970-5519
(305) 970-5519
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MT4716
FL
103T00000X
Psychologist
MT4716
FL
103TA0700X
Adult Development & Aging Psychologist
MT4716
FL
103TC2200X
Clinical Child & Adolescent Psychologist
MT4716
FL
103TP2701X
Group Psychotherapy Psychologist
MT4716
FL
106H00000X
Marriage & Family Therapist
Primary
MT4716
FL
Other
Enumeration date
09/19/2023
Last updated
04/11/2025
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