Doctor Name: | JOAN CHAMBERLIN |
NPI Number: | 1144499856 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CSAC |
License Number: | 14676-131 |
Business Practice Address: | 1445 N 4th St New Richmond, WI - 540171063 |
Business Phone Number: | 7152466991 |
Business Fax Number: | 7152468440 |
Mailing Address: | 1445 N 4th St, NEW RICHMOND |
State: | WI |
Postal Code: | 540171063 |
Phone Number: | 7152466991 |
Fax Number: | 7152468440 |
NPI Enumeration Date: | 02/27/2008 |
NPI Last Update Date: | 02/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 14676-131 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |