Organization
CHAMBERLAIN FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE IRENE CHAMBERLAIN MSW, LISW-S (FAMILY THERAPIST/OWNER)
(740) 477-1700
Entity
Organization
Contact information
Practice address
906 N. COURT ST. SUITE C, CIRCLEVILLE, OH 43113
(740) 477-1700
(740) 477-1746
Mailing address
P.O. BOX 1176, CIRCLEVILLE, OH 43113
(740) 477-1700
(740) 477-1746
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I9800-S
OH
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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