Individual
MELISSA ANN CHAMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
329 S HENDERSON ST, FORT WORTH, TX 76104-1042
(817) 881-1707
Mailing address
541 NW KING ST, BURLESON, TX 76028-3414
(817) 881-1707
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15786
TX
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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