| Doctor Name: | DR. JOHN CHAFFIN |
| NPI Number: | 1114353893 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ED.D. |
| License Number: | IMH 9112 |
| Business Practice Address: | 2312 Wilton Dr Suite 200 Wilton Manors, FL - 333051249 |
| Business Phone Number: | 9547645150 |
| Business Fax Number: | |
| Mailing Address: | 780 Ne 69th St, Ph-4 MIAMI |
| State: | FL |
| Postal Code: | 331385743 |
| Phone Number: | 7862855306 |
| Fax Number: | |
| NPI Enumeration Date: | 09/25/2013 |
| NPI Last Update Date: | 09/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | IMH 9112 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |