Healthcare Provider Details

I. General information

NPI: 1831005941
Provider Name (Legal Business Name): OLIVIA CHAMBERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2609 G ST
BAKERSFIELD CA
93301-2813
US

IV. Provider business mailing address

2609 G ST
BAKERSFIELD CA
93301-2813
US

V. Phone/Fax

Practice location:
  • Phone: 661-237-7610
  • Fax:
Mailing address:
  • Phone: 661-237-7610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number164968
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: