Individual
MRS. CHANEY STATLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1401 S STATE ST UNIT 408, CHICAGO, IL 60605-3624
(415) 517-7755
Mailing address
1401 S STATE ST UNIT 408, CHICAGO, IL 60605-3624
(415) 517-7755
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
51413
CA
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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