Provider Demographics
NPI:1992555452
Name:CHAMBERS, PATRICK BRIAN (LPC)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:BRIAN
Last Name:CHAMBERS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 DUPREE PL SW
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-4814
Mailing Address - Country:US
Mailing Address - Phone:312-802-8291
Mailing Address - Fax:
Practice Address - Street 1:224 DUPREE PL SW
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-4814
Practice Address - Country:US
Practice Address - Phone:312-802-8291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-26
Last Update Date:2024-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9442101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional