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NPI Code Detail

MEDICARE: MICHELLE QUNAI CHAMBERS

MEDICARE:   MICHELLE QUNAI 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
1101YM0800XMental Health Counselor
2104100000XSocial Worker

General Provider Information

NPI Number : 1588023923
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE QUNAI CHAMBERS
Provider Business Mailing Address
First Line : 3458 NEELY RD
Second Line :
City : JB MDL
State : NJ
Zip : 08641-5312
Country : US
Telephone Number : 609-754-9241
Fax Number :
Provider Business Practice Location Address
First Line : 58 REGENCY DR
Second Line :
City : MOUNT HOLLY
State : NJ
Zip : 08060-1379
Country : US
Telephone Number : 646-919-0985
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2016
Last Update Date : 09/08/2017

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Directions to “ MICHELLE QUNAI CHAMBERS ” Practice Location

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