person
Chris Michael Packham, LAADC,WTS,CS
Addiction (Substance Use Disorder) Counselor in San Jose, California
NPI 1821692500

Chris Michael Packham is an Addiction (Substance Use Disorder) Counselor based in San Jose, CA and is specialized in Addiction (Substance Use Disorder). Chris Michael Packham practices in San Jose, CA and has the professional credentials of LAADC,WTS,CS. The NPI Number for Chris Michael Packham is 1821692500 and holds a License No. LCI04620615 (California).

The current practice location address for Chris Michael Packham is 1101 Park Ave, San Jose, CA and can be reached out via phone at 408-915-1321 and via fax at 408-297-7450.

Location: 1101 Park Ave, San Jose, CA, 95126-2911
person
Provider Profile Details
NPI Number
1821692500
Provider Name
Chris Michael Packham
Credential
LAADC,WTS,CS
Provider Entity Type
Individual
Gender
Male
Address
1101 Park Ave, San Jose, CA, 95126-2911
Phone Number
408-915-1321
Fax Number
408-297-7450
Provider Enumeration Date
11/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1101 Park Ave
City
State
Zip
95126-2911
Phone Number
408-915-1321
Fax Number
408-297-7450
person
Provider Business Mailing Address Details
Address
1101 Park Ave
City
State
Zip
95126-2911
Phone Number
408-915-1321
Fax Number
408-297-7450
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCI04620615 (California)
Definition
Definition to come...
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