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Individual

DR. CYNTHIA LEE CHAUSSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.D., L.M.H.C LPC

Contact information

Practice address
106 N MAIN ST, GALAX, VA 24333-2978
(941) 815-0950
Mailing address
22 GILMER LN, SOUL CARE SOLUTION, GALAX, VA 24333-5173
(941) 815-0950

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
070100785
VA
101YM0800X
Mental Health Counselor
Primary
MH3566
FL
101YP2500X
Professional Counselor
070100785
VA
101YP2500X
Professional Counselor
MH3566
FL
101YS0200X
School Counselor
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070100785
LPC
VA
01
MH3566
MENTAL HEALTH LICENSE
FL
Enumeration date
08/06/2015
Last updated
02/22/2022
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