Individual provider · Type 1 NPI

Kelly Chisholm

Counselor · Lubbock, TX

NPI number 1245474873 Active

Practice location

2402 Canyon Lake Dr
Lubbock, TX 79415-2000

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X33414 (TX)

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 1245474873

Kelly Chisholm's National Provider Identifier is 1245474873, issued on Apr 27, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lubbock, TX. The record was last updated on Apr 27, 2009.