Individual provider · Type 1 NPI

Demetrias Chisolm

Professional Counselor · North Charleston, SC

NPI number 1053404251 Active

Practice location

3945 Rivers Ave
North Charleston, SC 29405-7042

Call (843) 345-5037 Map

Mailing address

9867 Black Tupelo Ln
Ladson, SC 29456-8536

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X7692 (SC)

Professional Counselor: Definition to come...

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About NPI 1053404251

Demetrias Chisolm's National Provider Identifier is 1053404251, issued on Oct 2, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in North Charleston, SC. The record was last updated on Feb 24, 2021.