Individual
ALEXANDER CHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
320 S LOCUST ST, CARLINVILLE, IL 62626-1648
(217) 854-3166
(217) 854-3778
Mailing address
320 S LOCUST ST, CARLINVILLE, IL 62626-1648
(217) 854-3166
(217) 854-3778
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178014205
IL
101YP2500X
Professional Counselor
Primary
180013774
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178014205
—
IL
05
—
180013774
—
IL
Enumeration date
10/29/2018
Last updated
08/13/2021
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