Provider Demographics
NPI:1568664068
Name:CHASSE, BEVERLEE JEAN (LPC)
Entity type:Individual
Prefix:MRS
First Name:BEVERLEE
Middle Name:JEAN
Last Name:CHASSE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BEVERLEE
Other - Middle Name:
Other - Last Name:LAIDLAW CHASSE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:9755 N 90TH ST
Mailing Address - Street 2:SUITE 290
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5046
Mailing Address - Country:US
Mailing Address - Phone:480-391-9877
Mailing Address - Fax:480-451-1860
Practice Address - Street 1:9755 N 90TH ST
Practice Address - Street 2:SUITE 290
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5046
Practice Address - Country:US
Practice Address - Phone:480-391-9877
Practice Address - Fax:480-451-1860
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-0411101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional