Doctor Name: | MR. LESLIE CHANDLER |
NPI Number: | 1669565867 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 6825 |
Business Practice Address: | 784 E Brenham St Giddings, TX - 78942 |
Business Phone Number: | 9795427411 |
Business Fax Number: | 9795425991 |
Mailing Address: | 3650 E Austin St, GIDDINGS |
State: | TX |
Postal Code: | 78942 |
Phone Number: | 9795427411 |
Fax Number: | 9795425991 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6825 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |