Doctor Name: | LEE CHAMBERS |
NPI Number: | 1619306867 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW, ICAADC, RAS |
License Number: | |
Business Practice Address: | 655 Soutth 78th Street Bldg 700/700-a 78 Mdg/sgow Robins Afb, GA - 31098 |
Business Phone Number: | 4783278487 |
Business Fax Number: | |
Mailing Address: | 5648 Balls Church Rd, JEFFERSONVILLE |
State: | GA |
Postal Code: | 310442130 |
Phone Number: | 9125019180 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2013 |
NPI Last Update Date: | 10/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |