| Kristen Chambers | |
|
118 W South Boundary St Ste 8 Perrysburg OH 43551-5103 | |
| (561) 318-2775 | |
| Not Available |
| Full Name | Kristen Chambers |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 118 W South Boundary St Ste 8, Perrysburg, Ohio |
| Authorized Official Name and Position | Kristen Diane Chambers (CLINICAL THERAPIST) |
| Authorized Official Contact | 5672181207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Chambers 28367 Simmons Rd Perrysburg OH 43551-4157 Ph: (567) 277-2715 | Kristen Chambers 118 W South Boundary St Ste 8 Perrysburg OH 43551-5103 Ph: (561) 318-2775 |
| NPI Number | 1861002768 |
|---|---|
| Provider Enumeration Date | 08/05/2020 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/29/2024 |
| Medicare PECOS PAC ID | 3971929928 |
|---|---|
| Medicare Enrollment ID | O20200820002481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861002768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kristen Diane Chambers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144616582 PECOS PAC ID: 1658684261 Enrollment ID: I20150724010872 |
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