| Doctor Name: | CORALEE CHASE |
| NPI Number: | 1316090376 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC,CADAC |
| License Number: | 5661 |
| Business Practice Address: | 116 Pleasant St Ste 334 Easthampton, MA - 010272784 |
| Business Phone Number: | 4132972546 |
| Business Fax Number: | |
| Mailing Address: | 88 North Rd, WESTFIELD |
| State: | MA |
| Postal Code: | 010859533 |
| Phone Number: | 4135629179 |
| Fax Number: | |
| NPI Enumeration Date: | 01/20/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 5661 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |