Individual
MR. JASON CHADDERDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC ASSOCIATE
Contact information
Practice address
11300 N CENTRAL EXPY STE 400, DALLAS, TX 75243-6712
(469) 607-0076
Mailing address
105 TANGLE RIDGE LN, GEORGETOWN, TX 78633-4687
(415) 265-2154
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
94849
TX
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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