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Marie Hazel Chisom
Counselor in Lemon Grove, California
NPI 1275834558

Marie Hazel Chisom is a Counselor based in Lemon Grove, CA. Marie Hazel Chisom practices in Lemon Grove, CA. The NPI Number for Marie Hazel Chisom is 1275834558 and holds a License No. (California).

The current practice location address for Marie Hazel Chisom is 3434 Grove St, Lemon Grove, CA and can be reached out via phone at 619-797-1090.

Location: 3434 Grove St, Lemon Grove, CA, 91945-1812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275834558
Provider Name
Marie Hazel Chisom
Credential
Provider Entity Type
Individual
Gender
Female
Address
3434 Grove St, Lemon Grove, CA, 91945-1812
Phone Number
619-797-1090
Fax Number
Provider Enumeration Date
11/03/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3434 Grove St
City
Lemon Grove
State
California
Zip
91945-1812
Phone Number
619-797-1090
Fax Number
person
Provider Business Mailing Address Details
Address
3434 Grove St
City
Lemon Grove
State
California
Zip
91945-1812
Phone Number
619-797-1090
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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