Chasidy Chamberlin

NPI #1508339573 in Elk River, Minnesota

Provider Information

NPI Number: 1508339573
Entity Type: Individual
Name: Chasidy Chamberlin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jan 2, 2019
Last Updated: Jan 2, 2019

Practice Location

Address: 19230 EVANS ST NW STE 203
City: Elk River
State: Minnesota
ZIP Code: 55330-1574
Phone: (612) 248-1455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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