Individual
LEE R CHAMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, MAC,CAADC, RAS
Contact information
Practice address
341 MARGIE DR STE 3A, WARNER ROBINS, GA 31088
(478) 832-9442
(229) 299-0993
Mailing address
401 OBRIEN DR, KATHLEEN, GA 31047-5351
(478) 832-9442
(229) 299-0993
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
509319
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
C0157
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
C1303150905
CA
104100000X
Social Worker
S.1200490
OH
1041C0700X
Clinical Social Worker
8277
CT
1041C0700X
Clinical Social Worker
Primary
CSW005857
GA
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003177727B
—
GA
05
—
003177727E
—
GA
01
—
202G706472
821165799
GA
01
—
4658124
CIGNA
GA
01
—
9453675
AETNA
GA
Enumeration date
11/08/2013
Last updated
08/09/2021
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