Provider Demographics
NPI:1073162681
Name:EVANS, CHANDLER (LMHC)
Entity type:Individual
Prefix:
First Name:CHANDLER
Middle Name:
Last Name:EVANS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:CHANDLER
Other - Middle Name:
Other - Last Name:VALLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CHANDLER EVANS, LMHC
Mailing Address - Street 1:1131 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14212-1501
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1131 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14212-1501
Practice Address - Country:US
Practice Address - Phone:716-895-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-06
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health