Provider Demographics
NPI:1316909492
Name:CHAISSON, DAPHNE MICHELLE (LPC)
Entity type:Individual
Prefix:MRS
First Name:DAPHNE
Middle Name:MICHELLE
Last Name:CHAISSON
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 1:8144 CONRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-3289
Mailing Address - Country:US
Mailing Address - Phone:901-759-4092
Mailing Address - Fax:901-759-4092
Practice Address - Street 1:8144 CONRIDGE DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-3289
Practice Address - Country:US
Practice Address - Phone:901-759-4092
Practice Address - Fax:901-759-4092
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health