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Miss Khadija Chisholm
Mental Health Counselor in Berkeley, California
NPI 1518692136

Khadija Chisholm is a Mental Health Counselor based in Berkeley, CA and is specialized in Mental Health. Khadija Chisholm practices in Berkeley, CA. The NPI Number for Khadija Chisholm is 1518692136 and holds a License No. (California).

The current practice location address for Khadija Chisholm is 3075 Adeline St Ste 120, Berkeley, CA and can be reached out via phone at 510-848-1112.

Location: 3075 Adeline St Ste 120, Berkeley, CA, 94703-2579
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518692136
Provider Name
Khadija Chisholm
Credential
Provider Entity Type
Individual
Gender
Female
Address
3075 Adeline St Ste 120, Berkeley, CA, 94703-2579
Phone Number
510-848-1112
Fax Number
Provider Enumeration Date
07/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3075 Adeline St Ste 120
City
Berkeley
State
California
Zip
94703-2579
Phone Number
510-848-1112
Fax Number
person
Provider Business Mailing Address Details
Address
3075 Adeline St Ste 120
City
Berkeley
State
California
Zip
94703-2579
Phone Number
510-848-1112
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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