Provider Demographics
NPI:1053567792
Name:CHANDLER, CHRISTOPHER A (LMHC)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:A
Last Name:CHANDLER
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 NORTHUP WAY STE 105
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-1438
Mailing Address - Country:US
Mailing Address - Phone:425-289-9589
Mailing Address - Fax:425-576-0654
Practice Address - Street 1:2820 NORTHUP WAY STE 105
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-1438
Practice Address - Country:US
Practice Address - Phone:425-289-9589
Practice Address - Fax:425-576-0654
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00011043101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health