MR. WALTER GILLICAN CHAMBERLAIN M.ED LPC BCBA NPI 1679762082

NPI Information

NPI: 1679762082
Provider Name: MR. WALTER GILLICAN CHAMBERLAIN, M.ED, LPC, BCBA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2415 17TH ST
GULFPORT, MS
ZIP 39501
Phone: (228) 701-0085
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MR. Walter Gillican Chamberlain, M.ED, LPC, BCBA is a mental health counselor in Gulfport, MS. MR. Walter Gillican Chamberlain, M.ED, LPC, BCBA NPI is 1679762082. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2415 17TH ST
GULFPORT, MS
ZIP 39501-906
Phone: (228) 701-0085
Fax: (220) 701-0054

The enumeration date for this NPI number is 10/22/2007 and was last updated on 11/2/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103K00000X	Behavior Analyst		1-11-9380		No
2	101YM0800X	Counselor	Mental Health	1548	MISSISSIPPI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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