Ellen Agree Chandler, M.S.W.

Individual provider Active NPI Mental Health Counselor · Garrison, NY

NPI 1629138060 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1629138060
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
R022138 (NY)
Practice address
666 Route 9D
Garrison, NY 10524-3344
Phone
(845) 424-3650
Fax
(845) 424-3364
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
R022138NYMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R022138 NY Yes

Addresses

Primary practice location

666 Route 9D
Garrison, NY 10524-3344

Mailing address

666 Route 9D
Garrison, NY 10524-3344
Phone (845) 424-3650

Other providers in Garrison, NY

All providers in Garrison, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.