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Individual

SUSAN MICHELLE CHAPPELEAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, CADC-I

Contact information

Practice address
375 PARK AVE, SUITE 2, COOS BAY, OR 97420
(541) 808-5537
(855) 240-3453
Mailing address
375 PARK AVE, SUITE 2, COOS BAY, OR 97420
(541) 808-5537
(855) 240-3453

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2271
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500695312
OR
Enumeration date
10/29/2008
Last updated
06/11/2019
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