MEDICARE: VAN STEVEN CHAMBERS

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
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1306352885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VAN STEVEN CHAMBERS

Provider Business Mailing Address
First Line	:	3770 N HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-3525
Country	:	US
Telephone Number	:	614-294-7117
Fax Number	:

Provider Business Practice Location Address
First Line	:	2951 S HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-3669
Country	:	US
Telephone Number	:	614-365-5030
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2017
Last Update Date	:	12/20/2017

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Directions to “ VAN STEVEN CHAMBERS ” Practice Location

Language	Start Address	Practice Location

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