Individual provider · Type 1 NPI

Chaliss Kirkendoll

Rehabilitation Practitioner · Vallejo, CA

NPI number 1144939802 Active

Practice location

160 Glen Cove Marina Rd E Ste 102
Vallejo, CA 94591-7290

Call (707) 648-2000 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1144939802

Chaliss Kirkendoll's National Provider Identifier is 1144939802, issued on Nov 21, 2022. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Vallejo, CA. The record was last updated on Aug 27, 2025.