Provider Demographics
NPI:1154946291
Name:MORRISSETT, CHLOE FULCHER (LPC)
Entity type:Individual
Prefix:MRS
First Name:CHLOE
Middle Name:FULCHER
Last Name:MORRISSETT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:CHLOE
Other - Middle Name:RENAE
Other - Last Name:FULCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8389 REAGAN DR
Mailing Address - Street 2:
Mailing Address - City:KING GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:22485-7149
Mailing Address - Country:US
Mailing Address - Phone:804-432-8727
Mailing Address - Fax:
Practice Address - Street 1:8389 REAGAN DR
Practice Address - Street 2:
Practice Address - City:KING GEORGE
Practice Address - State:VA
Practice Address - Zip Code:22485-7149
Practice Address - Country:US
Practice Address - Phone:804-432-8727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-15
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701009428101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor