Provider Demographics
NPI:1609160555
Name:CHAMBERS, STEPHEN (LCPC)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:CHAMBERS
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3492 FLETCHER LN
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-7140
Mailing Address - Country:US
Mailing Address - Phone:224-636-4680
Mailing Address - Fax:
Practice Address - Street 1:3492 FLETCHER LN
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-7140
Practice Address - Country:US
Practice Address - Phone:224-636-4680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178007348101YP2500X
IL180009558101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional