Individual
MS. CHANTA RENEE GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 SCOTTSDALE CT, COLUMBIA, SC 29229-9348
(843) 263-5731
Mailing address
812 GRISTINA CT, COLUMBIA, SC 29229-9391
(843) 263-5731
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.8205.PC
SC
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
05/29/2012
Last updated
01/07/2025
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