Individual
BEA IVORY-CHAMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1330 LINCOLN AVE STE 202B, SAN RAFAEL, CA 94901-2142
(415) 233-2333
Mailing address
1330 LINCOLN AVE STE 202B, SAN RAFAEL, CA 94901-2142
(415) 233-2333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFT 40729
CA
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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