Individual
CHASITY YVETTE CHAMBLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
THERAPIST
Contact information
Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-2829
(757) 772-9961
Mailing address
112 POST OAK RD, YORKTOWN, VA 23693-4967
(727) 504-7198
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701012345
VA
101YM0800X
Mental Health Counselor
Primary
MH11769
FL
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/12/2011
Last updated
03/22/2024
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