Individual
JAMES RONALD CHAMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
180 BROADWAY, HICKSVILLE, NY 11801-4230
(516) 935-6858
(516) 935-2717
Mailing address
180 BROADWAY, HICKSVILLE, NY 11801-4230
(516) 935-6858
(516) 935-2717
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20292
NY
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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