Individual
MR. MICHAEL RAY CHANCELLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-S
Contact information
Practice address
511 E PINE HILL DR, LIVINGSTON, TX 77351-2464
(936) 933-4392
(936) 327-0131
Mailing address
511 E PINE HILL DR, LIVINGSTON, TX 77351-2464
(936) 933-4392
(936) 327-0131
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
17798
TX
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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