Individual
MR. CAMERON CHASE CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC/MHSP (TEMP)
Contact information
Practice address
926 W OAKLAND AVE, JOHNSON CITY, TN 37604-1445
(423) 282-3379
Mailing address
926 W OAKLAND AVE, JOHNSON CITY, TN 37604-1445
(423) 282-3379
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184150229
—
TN
Enumeration date
09/20/2021
Last updated
09/20/2021
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