Individual provider · Type 1 NPI

Charles Richard Chamblee Jr., D.MIN; M.DIV; L.A.C.

Professional Counselor · Little Rock, AR

NPI number 1285979609 Active

Practice location

11321 Interstate 30, Suite 304
Little Rock, AR 72209-7067

Fax (501) 202-7513

Mailing address

11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XA1203022 (AR)

Professional Counselor: Definition to come...

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About NPI 1285979609

Charles Richard Chamblee Jr., D.MIN; M.DIV; L.A.C.'s National Provider Identifier is 1285979609, issued on Dec 11, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Little Rock, AR. The record was last updated on Feb 1, 2024.