Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1184888414 |
---|---|
Provider Name | Devin Henry Chambers |
First Address | Champaign, IL 61820-7236 |
Second Address | Champaign, IL 61820-7236 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2008 |
Last Update Date | 29/07/2008 |