person
Carrie Marie Chisholm, BS,CADC1
Addiction (Substance Use Disorder) Counselor in Medford, Oregon
NPI 1336443217

Carrie Marie Chisholm is an Addiction (Substance Use Disorder) Counselor based in Medford, OR and is specialized in Addiction (Substance Use Disorder). Carrie Marie Chisholm practices in Medford, OR and has the professional credentials of BS,CADC1. The NPI Number for Carrie Marie Chisholm is 1336443217 and holds a License No. 08-12-06 (Oregon).

The current practice location address for Carrie Marie Chisholm is 1003 E Main St Ste 104, Medford, OR and can be reached out via phone at 541-326-4905 and via fax at 541-608-2888.

Location: 1003 E Main St Ste 104, Medford, OR, 97504-7140
person
Provider Profile Details
NPI Number
1336443217
Provider Name
Carrie Marie Chisholm
Credential
BS,CADC1
Provider Entity Type
Individual
Gender
Female
Address
1003 E Main St Ste 104, Medford, OR, 97504-7140
Phone Number
541-326-4905
Fax Number
541-608-2888
Provider Enumeration Date
01/06/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1003 E Main St Ste 104
City
State
Zip
97504
Phone Number
541-326-4905
Fax Number
541-608-2888
person
Provider Business Mailing Address Details
Address
1003 E Main St Ste 104
City
State
Zip
97504
Phone Number
541-326-4905
Fax Number
541-608-2888
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
08-12-06 (Oregon)
Definition
Definition to come...
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