Individual provider · Type 1 NPI

Michelle Elizabeth Chisum

Day Training/Habilitation Specialist · Marina, CA

NPI number 1124914502 Active

Practice location

3043 Macarthur Dr
Marina, CA 93933-4763

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Day Training/Habilitation Specialist Primary 373H00000XNone listed
Community Health Worker 172V00000XNone listed

Day Training/Habilitation Specialist: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

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About NPI 1124914502

Michelle Elizabeth Chisum's National Provider Identifier is 1124914502, issued on Jun 13, 2025. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Marina, CA. The record was last updated on Oct 8, 2025.