Doctor Name: | DEAHDRA CHAMBERS |
NPI Number: | 1124425566 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC-A |
License Number: | A11074 |
Business Practice Address: | 2202 Fayetteville Rd Rockingham, NC - 283794046 |
Business Phone Number: | 9109975477 |
Business Fax Number: | 9109975290 |
Mailing Address: | Po Box 294, CANDOR |
State: | NC |
Postal Code: | 272290294 |
Phone Number: | 9109754513 |
Fax Number: | |
NPI Enumeration Date: | 12/01/2014 |
NPI Last Update Date: | 12/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | A11074 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |