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Provider Information for 1619457660


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AMY M. CHAMBERS LPC


Other Names:  
Former Name: 
AMY M LAUBINGER

Sex: Female

NPI: 1619457660
Last Updated: 2021-04-27
Certification Date: 2021-04-27

Details

NameValue
NPI1619457660
Enumeration Date2018-08-20
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1800 COMMUNITY
CLINTON, MO 64735-8804
United States

Phone: 660-885-8131 | Fax:
 
Primary Practice Address 1450 E 10TH ST
ROLLA, MO 65401-3648
United States

Phone: 888-403-1071 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthMO2018028484