Chandler, Nils Bethel
Chandler, Nils Bethel is an sole proprietor health care provider with primary practice located at 183 Academic Dr Building Number 39721, Fort Gordon GA 30905-5933. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Chandler, Nils Bethel can be contacted via phone (706) 951-0829.Contact Information
Primary practice address
183 Academic Dr Building Number 39721
Fort Gordon GA 30905-5933
Phone: (706) 951-0829
Fax: (706) 787-8682
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1780 | Georgia |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | NCACI013944 | Georgia |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | NCC88694 | Georgia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC004710 | Georgia |
Profile Details
| NPI number | 1396890489 |
|---|---|
| LBN Legal business name | Chandler, Nils Bethel |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Oct 3rd, 2013 - about 12 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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