Individual
MRS. LACY ANN CHAMBERLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRM, PSS
Contact information
Practice address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(971) 842-9720
Mailing address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(971) 842-9720
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23-CRM-2518
OR
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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