Provider Demographics
NPI:1154744829
Name:CHAPMAN, ANNE KATHRYN (LPC)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:KATHRYN
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2316 N COLE RD
Mailing Address - Street 2:STE A
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83704-7365
Mailing Address - Country:US
Mailing Address - Phone:208-323-2273
Mailing Address - Fax:208-323-1234
Practice Address - Street 1:2316 N COLE RD
Practice Address - Street 2:STE A
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704-7365
Practice Address - Country:US
Practice Address - Phone:208-323-2273
Practice Address - Fax:208-323-1234
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-30
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-729101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health