Individual
CHASTITY MACHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
120 E TRINITY PL, DECATUR, GA 30030-3302
(404) 450-4316
Mailing address
120 E TRINITY PL, DECATUR, GA 30030-3302
(404) 450-4316
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC008864
GA
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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