Provider Demographics
NPI:1366742843
Name:CHAMBERS, RAYSHELL FELISHA
Entity type:Individual
Prefix:
First Name:RAYSHELL
Middle Name:FELISHA
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8721 PINE CREST PL
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-4653
Mailing Address - Country:US
Mailing Address - Phone:909-762-1672
Mailing Address - Fax:
Practice Address - Street 1:8721 PINE CREST PL
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-4653
Practice Address - Country:US
Practice Address - Phone:909-762-1672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-29
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor