Individual
JENNIFER CHAMBERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
765 N DETROIT ST, XENIA, OH 45385-1960
(866) 534-2639
(800) 480-7578
Mailing address
10251 MILTON CARLISLE RD, NEW CARLISLE, OH 45344-8253
(937) 727-8224
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.193208
OH
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
APS.004744
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094322
—
OH
Enumeration date
01/10/2024
Last updated
02/04/2026
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