Individual provider · Type 1 NPI
Monique Chatrisa, PCC INTERN
Professional Counselor · Crestline, CA
NPI number
1164965133
Active
Practice location
24174 Wabern Drive
Crestline, CA 92325
Mailing address
PO Box 947
Twin Peaks, CA 92391-0947
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2802 (CA) |
Professional Counselor: Definition to come...
About NPI 1164965133
Monique Chatrisa, PCC INTERN's National Provider Identifier is 1164965133, issued on Nov 23, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Crestline, CA. The record was last updated on Nov 23, 2016.