Individual
ALICIA SIMONE CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1432 RENFROW LN, CHARLOTTE, NC 28270-1468
(704) 493-3356
Mailing address
1432 RENFROW LN, CHARLOTTE, NC 28270-1468
(704) 493-3356
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
P010799
NC
Other
Enumeration date
09/19/2016
Last updated
07/14/2021
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