Individual
AMISTA DANIELLE CHAMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
2310 E GORE BLVD, #5, LAWTON, OK 73501-6130
(580) 699-2202
(580) 699-2207
Mailing address
4010 SE CAMELOT DR, LAWTON, OK 73501-8438
(580) 699-2202
(580) 699-2207
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5182
OK
Other
Enumeration date
07/01/2011
Last updated
02/06/2015
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