Individual
BEVERLY CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 MAIN ST STE A, CENTERBROOK, CT 06409-1089
(860) 532-0604
Mailing address
25 CLOVER ST, MIDDLETOWN, CT 06457-5218
(860) 807-6971
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
004211
CT
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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