Individual provider · Type 1 NPI

Michael Lee Chidester Jr., CATC-I

Addiction (Substance Use Disorder) Counselor · Newark, CA

NPI number 1053973206 Active

Practice location

6330 Thornton Ave
Newark, CA 94560-3734

Call (510) 792-4357 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053973206

Michael Lee Chidester Jr., CATC-I's National Provider Identifier is 1053973206, issued on Jul 8, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Newark, CA. The record was last updated on Jul 8, 2019.