person
Michelle M Chisholm, SUDP
Addiction (Substance Use Disorder) Counselor in Chehalis, Washington
NPI 1285101360

Michelle M Chisholm is an Addiction (Substance Use Disorder) Counselor based in Chehalis, WA and is specialized in Addiction (Substance Use Disorder). Michelle M Chisholm practices in Chehalis, WA and has the professional credentials of SUDP. The NPI Number for Michelle M Chisholm is 1285101360 and holds a License No. CP60114318 (Washington).

The current practice location address for Michelle M Chisholm is 500 Se Washington Ave, Chehalis, WA and can be reached out via phone at 360-748-4774.

Location: 500 Se Washington Ave, Chehalis, WA, 98532-3058
person
Provider Profile Details
NPI Number
1285101360
Provider Name
Michelle M Chisholm
Credential
SUDP
Provider Entity Type
Individual
Gender
Female
Address
500 Se Washington Ave, Chehalis, WA, 98532-3058
Phone Number
360-748-4774
Fax Number
Provider Enumeration Date
10/26/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2172951 05 WA
institution
Provider Business Practice Location Address Details
Address
500 Se Washington Ave
City
State
Zip
98532-3058
Phone Number
360-748-4774
Fax Number
person
Provider Business Mailing Address Details
Address
500 Se Washington Ave
City
State
Zip
98532-3058
Phone Number
360-748-4774
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP60114318 (Washington)
Definition
Definition to come...
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