Doctor Name: | CHANDRA CULVER |
NPI Number: | 1295194959 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, LICDC |
License Number: | |
Business Practice Address: | 116 W Mulberry St West Union, OH - 456931300 |
Business Phone Number: | 9377793030 |
Business Fax Number: | 9377793108 |
Mailing Address: | 201 Spencer Hill Rd, WEST UNION |
State: | OH |
Postal Code: | 456939406 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/23/2016 |
NPI Last Update Date: | 02/23/2016 |
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: |