Individual
MARY CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCI
Contact information
Practice address
29821 COLVIN ST., GOLD BEACH, OR 97444
(541) 247-4082
(541) 247-5058
Mailing address
94235 MOORE ST, SUITE 121, GOLD BEACH, OR 97444-9699
(541) 247-4082
(541) 247-5058
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
100306
OR
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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