| Doctor Name: | RITA CHACON |
| NPI Number: | 1083004477 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 75 S Main St Chambersburg, PA - 172012224 |
| Business Phone Number: | 7172624969 |
| Business Fax Number: | 7172631647 |
| Mailing Address: | 200 N 7th St, LEBANON |
| State: | PA |
| Postal Code: | 170465040 |
| Phone Number: | 7172725464 |
| Fax Number: | 7172731416 |
| NPI Enumeration Date: | 01/23/2015 |
| NPI Last Update Date: | 01/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |