Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WALTER GILLICAN CHAMBERLAIN JR., M.ED, LPC, BCBA
ActiveMental Health Counselor · GULFPORT, MS
Registration Details
- NPI Number
- 1679762082
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 22, 2007 (18.538216346003 yrs)
- Last Updated
- Nov 2, 2012
- Licenses
-
1-11-93801548 (MS)
Practice Information
- Address
-
2415 17TH STGULFPORT, MS, 395012906Browse MS providers · Browse ZIP 39501
- Phone
- 2287010085
- Fax
- 2207010054
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in GULFPORT, MS
| Name | Credential | NPI |
|---|---|---|
| MARIAN P WIDEMAN | M.A. | 1538193883 |
| TINA MARIE GRAVES | MSW,LCSW,LMFT | 1225053705 |
| MRS. AMY BASS-LONGO | MS | 1447276696 |
| ROSE ANN HAGOOD | LPC | 1407872021 |
| MS. EVANGELINE EVE VIZZINI | MED,LPC | 1669499653 |
| MRS. VICKI L REVELL-SMITH | MS,LPC | 1194742296 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.