Provider Demographics
NPI:1366905903
Name:CHUBB, NATALIE LYNN (LPC)
Entity type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:LYNN
Last Name:CHUBB
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2691 BIG SUR DR
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-9324
Mailing Address - Country:US
Mailing Address - Phone:614-560-0235
Mailing Address - Fax:
Practice Address - Street 1:9775 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-6947
Practice Address - Country:US
Practice Address - Phone:614-560-0235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-10
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1500783101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health