Individual
ERIC CHAMBERLAIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LCADC
Contact information
Practice address
8701 COUNTRY PINES AVE, LAS VEGAS, NV 89129-7637
(702) 375-6749
Mailing address
8701 COUNTRY PINES AVE, LAS VEGAS, NV 89129-7637
(702) 375-6749
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
07766-LC
NV
1041C0700X
Clinical Social Worker
Primary
11110-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCADC
07766-LC
NV
01
—
LCSW
11110-C
NV
Enumeration date
08/06/2021
Last updated
08/19/2024
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