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NPI Code Detail

MEDICARE: MS. ERICA ANN CHAMBRE MFT

MEDICARE: MS. ERICA ANN CHAMBRE MFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistMFT32004CA

General Provider Information

NPI Number : 1245365626
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ERICA ANN CHAMBRE MFT
Provider Business Mailing Address
First Line : 390 40TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94609-2633
Country : US
Telephone Number : 510-653-5040
Fax Number : 510-653-6475
Provider Business Practice Location Address
First Line : 390 40TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94609-2633
Country : US
Telephone Number : 510-653-5040
Fax Number : 510-653-6475
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2007
Last Update Date : 07/08/2007

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Directions to “ MS. ERICA ANN CHAMBRE MFT” Practice Location

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