Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | 3097 | KS |
NPI | 1003372038 |
---|---|
Provider Name | Jamie Lynn Chambers |
First Address | Olathe, KS 66062-5631 |
Second Address | Olathe, KS 66062-1891 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2019 |
Last Update Date | 14/02/2019 |