Individual provider · Type 1 NPI

Marie Hazel Chisom

Counselor · Lemon Grove, CA

NPI number 1275834558 Active

Practice location

3434 Grove St
Lemon Grove, CA 91945-1812

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1275834558

Marie Hazel Chisom's National Provider Identifier is 1275834558, issued on Nov 3, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lemon Grove, CA. The record was last updated on Nov 3, 2010.