Individual
DR. CHARLES RICHARD CHAMBLEE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.MIN; M.DIV; L.A.C.
Contact information
Practice address
11321 INTERSTATE 30, SUITE 304, LITTLE ROCK, AR 72209-7067
(501) 202-7587
(501) 202-7513
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(501) 202-7587
(501) 202-7513
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A1203022
AR
Other
Enumeration date
12/11/2012
Last updated
02/01/2024
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