Individual provider · Type 1 NPI

Walter Gillican Chamberlain Jr., M.ED, LPC, BCBA

Mental Health Counselor · Gulfport, MS

NPI number 1679762082 Active

Practice location

2415 17th St
Gulfport, MS 39501-2906

Call (228) 701-0085 Map

Fax (220) 701-0054

Mailing address

79321 Diamondhead Dr E
Diamondhead, MS 39525-3544

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000X1-11-9380
Mental Health Counselor Primary 101YM0800X1548 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1679762082

Walter Gillican Chamberlain Jr., M.ED, LPC, BCBA's National Provider Identifier is 1679762082, issued on Oct 22, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gulfport, MS. The record was last updated on Nov 2, 2012.