Individual provider · Type 1 NPI

Beverly J. Chisholm, LMSW

Addiction (Substance Use Disorder) Counselor · Plymouth, MI

NPI number 1689879637 Active

Practice location

575 S Main St, Suite 6
Plymouth, MI 48170-1778

Call (734) 451-7800 Map

Mailing address

2975 Taylor St
Detroit, MI 48206-1910

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X6801063157 (MI)

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

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About NPI 1689879637

Beverly J. Chisholm, LMSW's National Provider Identifier is 1689879637, issued on Jun 19, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Plymouth, MI. The record was last updated on Jul 8, 2007.