Provider Demographics
NPI:1528441342
Name:CHANDLER, SUSAN ANN (LPC)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:ANN
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:403 MOUNT CROSS RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24540-5561
Mailing Address - Country:US
Mailing Address - Phone:434-799-6020
Mailing Address - Fax:434-700-6050
Practice Address - Street 1:403 MOUNT CROSS RD
Practice Address - Street 2:SUITE 101
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-5561
Practice Address - Country:US
Practice Address - Phone:434-799-6020
Practice Address - Fax:434-700-6050
Is Sole Proprietor?:No
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA00701003865101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional