Madigan Chandler, LPCC
Counselor, Professional in Santa Fe, NM. Individual provider (NPI-1).
NPI number1063841997
StatusActive
Last updated in NPPESMar 15, 2021
Details
- NPI
- 1063841997
- Entity type
- Individual (NPI-1)
- Name
- Madigan Chandler
- Credential
- LPCC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2013
- Certification date
- Mar 15, 2021
- Last updated
- Mar 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | CCMH0185571 | NM | Yes |
| 101Y00000X | Counselor | T-0161171 | NM | |
| 101YM0800X | Counselor, Mental Health | 0185571 | NM |
Practice location
2074 Galisteo St Ste B4Santa Fe, NM 87505-2157
Phone 505-362-2934
Mailing address
1437 Santa Cruz DrSanta Fe, NM 87505-3865
Phone 505-362-2934
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