Individual
MRS. RETA COZETTE CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
505 MCLAURIN ST, MADISON, MS 39110-8613
(601) 291-9521
Mailing address
505 MCLAURIN ST, MADISON, MS 39110-8613
(601) 291-9521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1771
MS
101YP2500X
Professional Counselor
Primary
1771
MS
Other
Enumeration date
12/12/2024
Last updated
04/17/2026
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