Individual
LEONA CHANDLER-FELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
6049 BROADWAY, MERRILLVILLE, IN 46410-2619
(219) 427-0193
(219) 756-1503
Mailing address
6049 BROADWAY, MERRILLVILLE, IN 46410-2619
(219) 427-0193
(219) 756-1503
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13909855
CAQH
IN
Enumeration date
10/11/2016
Last updated
10/11/2016
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