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Individual

MR. BRIAN CHAMBERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.S.., CADC

Contact information

Practice address
400 N BENJAMIN LN, SUITE 201, BOISE, ID 83704-5094
(208) 287-5630
(208) 287-5609
Mailing address
400 N BENJAMIN LN, SUITE 201, BOISE, ID 83704-5094
(208) 287-5630
(208) 287-5609

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA0400X
ID

Other

Enumeration date
12/03/2013
Last updated
12/04/2013
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