Individual
KELLI CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
4081 DE ZAVALA RD, SHAVANO PARK, TX 78249-2082
(785) 249-5720
Mailing address
6830 COUNTRY DAWN, SAN ANTONIO, TX 78240-4438
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
75027
TX
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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