Individual provider · Type 1 NPI

Ella Mae Chisum, L.P.C.

Professional Counselor · Beaumont, TX

NPI number 1154434900 Active

Practice location

2628 Mcfaddin St
Beaumont, TX 77702-1621

Call (409) 832-7444 Map

Fax (409) 832-7410

Mailing address

PO Box 7065
Beaumont, TX 77726-7065

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X15215 (TX)

Professional Counselor: Definition to come...

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About NPI 1154434900

Ella Mae Chisum, L.P.C.'s National Provider Identifier is 1154434900, issued on Aug 16, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Beaumont, TX. The record was last updated on Jul 8, 2007.