Provider Demographics
NPI:1932312535
Name:CHAMBERS, CATHEY ANNE (MED, LPC,LADC, NCG)
Entity Type:Individual
Prefix:MS
First Name:CATHEY
Middle Name:ANNE
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:MED, LPC,LADC, NCG
Other - Prefix:
Other - First Name:CATHEY
Other - Middle Name:ANNE
Other - Last Name:BUDD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, LADC, NCGC1
Mailing Address - Street 1:3764 E 111TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-7400
Mailing Address - Country:US
Mailing Address - Phone:918-298-0724
Mailing Address - Fax:
Practice Address - Street 1:6333 E SKELLY DR
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-6106
Practice Address - Country:US
Practice Address - Phone:918-779-7168
Practice Address - Fax:918-663-0203
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3987101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health