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Organization
CHAMBERLAIN COUNSELING SERVICES LLC
Active
Organization
CHAMBERLAIN COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER G CHAMBERLAIN JR. M.ED, LPC-S, BCBA (CEO)
(604) 850-8663
Entity
Organization
Contact information
Practice address
79321 DIAMONDHEAD DR E, DIAMONDHEAD, MS 39525-3544
(601) 850-8663
Mailing address
79321 DIAMONDHEAD DR E, DIAMONDHEAD, MS 39525-3544
(601) 850-8663
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1548
MS
103K00000X
Behavior Analyst
1-11-9380
—
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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