Individual
STACY LEE CHAMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CG60730016
Contact information
Practice address
1906 THOMPSON DRIVE, SEDRO WOOLLEY, WA 98284
(360) 856-3174
Mailing address
1906 THOMPSON DRIVE, SEDRO WOOLLEY, WA 98273
(360) 856-3174
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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