Chandler, Joan Austin Grace

Chandler, Joan Austin Grace is an individual health care provider with primary practice located at 8200 Crows Nest Ln , Greensboro NC 27455-9294. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Chandler, Joan Austin Grace can be contacted via phone (336) 643-5885.

Contact Information

Primary practice address
8200 Crows Nest Ln Greensboro NC 27455-9294
Phone: (336) 643-5885
Fax: (336) 643-6850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 2113 North Carolina

Profile Details

NPI number 1265430540
LBN Legal business name Chandler, Joan Austin Grace
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated May 21st, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265430540 NPPES
North Carolina MEDICAID 6000391

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