Doctor Name: | ROSEMARY CHAMBERLAIN |
NPI Number: | 1184671430 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT |
License Number: | MFC31023 |
Business Practice Address: | 7919 Pebble Beach Dr Suite 203 Citrus Heights, CA - 956107789 |
Business Phone Number: | 9169679671 |
Business Fax Number: | 9169679672 |
Mailing Address: | 7659 Northeast Cir, CITRUS HEIGHTS |
State: | CA |
Postal Code: | 956107561 |
Phone Number: | 9169679671 |
Fax Number: | 9169679672 |
NPI Enumeration Date: | 05/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MFC31023 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |