Provider Demographics
NPI:1306610738
Name:CHESSER, AMBER BROOKE (ALC)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:BROOKE
Last Name:CHESSER
Suffix:
Gender:F
Credentials:ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 OFFICE PARK DR STE 290
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-3100
Mailing Address - Country:US
Mailing Address - Phone:205-918-6161
Mailing Address - Fax:
Practice Address - Street 1:402 OFFICE PARK DR STE 290
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-3100
Practice Address - Country:US
Practice Address - Phone:205-918-6161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALC04326101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional