Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | 3050 | AL |
NPI | 1003017930 |
---|---|
Provider Name | Aleisha Boodoian Chaffin |
First Address | Huntsville, AL 35801-6444 |
Second Address | Huntsville, AL 35801-6444 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 01/02/2021 |