Provider Demographics
NPI:1215266440
Name:CHAMBERLAIN, SYLVIA FERNANDEZ (MA MFT)
Entity type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:FERNANDEZ
Last Name:CHAMBERLAIN
Suffix:
Gender:F
Credentials:MA MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1966 SAN PABLO DR
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-4822
Mailing Address - Country:US
Mailing Address - Phone:760-744-5975
Mailing Address - Fax:760-744-5975
Practice Address - Street 1:940 E VALLEY PKWY
Practice Address - Street 2:SUITE D
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025
Practice Address - Country:US
Practice Address - Phone:760-300-3313
Practice Address - Fax:760-747-2443
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-17
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC32279101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health