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ELBERT F. CHAMBERS CACII

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1164577912

Individual Registrant:
 ELBERT F. CHAMBERS CACII
Gender: M
Not Sole Proprietor

Location and contact information for practice:
207 N ANDERSON DR  SWAINSBORO, GA 30401-4440 US
Tel: 478-289-2619  Fax: 478-289-2622

Contact information for business:
P O BOX 1259 223 N. ANDERSON DRIVE SWAINSBORO, GA 30401-1259 US
Tel: 478-289-2683  Fax: --

Registration Information:
NPI: 1164577912
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
GA1026
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
GA013268

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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