| NPI | 1629205570 |
|---|---|
| Other Name | KENNETH E CHANDLER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID 1280008) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |