Individual provider · Type 1 NPI

Erica Chestnut, MC, LISAC

Counselor · Glendale, AZ

NPI number 1215124334 Active

Practice location

4425 W Olive Ave, 194
Glendale, AZ 85302-3843

Call (480) 262-0508 Map

Fax (602) 629-1536

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLISAC-10600 (AZ)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1215124334

Erica Chestnut, MC, LISAC's National Provider Identifier is 1215124334, issued on Oct 2, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Glendale, AZ. The record was last updated on Oct 2, 2007.