Individual
JENNIFER CHAPMAN CHALON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1087 PINEKNOT RD, ASHBURN, GA 31714-3405
(229) 848-5404
Mailing address
1087 PINEKNOT RD, ASHBURN, GA 31714-3405
(229) 848-5404
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004263
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003166972A
—
GA
Enumeration date
01/15/2012
Last updated
10/08/2020
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