Individual provider · Type 1 NPI

Carrie Marie Chisholm, B.S., CADC1

Addiction (Substance Use Disorder) Counselor · Medford, OR

NPI number 1336443217 Active

Practice location

1003 E Main St Ste 104
Medford, OR 97504

Call (541) 326-4905 Map

Fax (541) 608-2888

Other practice locations

  • 695 Mistletoe Rd, Ashland, OR 97520-9552 · (541) 482-8906

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X08-12-06 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1336443217

Carrie Marie Chisholm, B.S., CADC1's National Provider Identifier is 1336443217, issued on Jan 6, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Medford, OR. The record was last updated on Apr 17, 2019.