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Individual

CHANDLER REED FAUSNAUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC, CAP

Contact information

Practice address
23 N SUMMERLIN AVE, ORLANDO, FL 32801-2900
(321) 277-2443
Mailing address
1500 SUMMERLAND AVE, WINTER PARK, FL 32789-1445
(321) 277-2443

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH8241
FL

Other

Enumeration date
10/01/2007
Last updated
10/01/2007
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