Provider Demographics
NPI:1255880373
Name:CHAMBERS, CALIULOS
Entity type:Individual
Prefix:
First Name:CALIULOS
Middle Name:
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8181 PROFESSIONAL PL
Mailing Address - Street 2:
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-2226
Mailing Address - Country:US
Mailing Address - Phone:301-306-4590
Mailing Address - Fax:301-800-0054
Practice Address - Street 1:8181 PROFESSIONAL PL
Practice Address - Street 2:
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-2226
Practice Address - Country:US
Practice Address - Phone:301-306-4590
Practice Address - Fax:301-800-0054
Is Sole Proprietor?:No
Enumeration Date:2016-09-30
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC2996101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)