| Doctor Name: | MR. LAWRENCE DEAN CHASE |
| NPI Number: | 1609014265 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LISAC 10158 |
| License Number: | LISAC-10158 |
| Business Practice Address: | 2041 Swanson Ave Lake Havasu City, AZ - 86403 |
| Business Phone Number: | 9284864131 |
| Business Fax Number: | 9284536415 |
| Mailing Address: | P.o. Box 1124, Chase Counseling Services LAKE HAVASU CITY |
| State: | AZ |
| Postal Code: | 86405 |
| Phone Number: | 9284864131 |
| Fax Number: | 9284536415 |
| NPI Enumeration Date: | 02/04/2009 |
| NPI Last Update Date: | 02/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | LISAC-10158 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |