Individual provider · Type 1 NPI

Khadija Chisholm

Mental Health Counselor · Berkeley, CA

NPI number 1518692136 Active

Practice location

3075 Adeline St Ste 120
Berkeley, CA 94703-2579

Call (510) 848-1112 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1518692136

Khadija Chisholm's National Provider Identifier is 1518692136, issued on Jul 18, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Berkeley, CA. The record was last updated on Jul 18, 2022.