Individual provider · Type 1 NPI
Chris Michael Packham, LAADC, WTS, CS
Addiction (Substance Use Disorder) Counselor · San Jose, CA
NPI number
1821692500
Active
Practice location
1101 Park Ave
San Jose, CA 95126-2911
Fax (408) 297-7450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCI04620615 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1821692500
Chris Michael Packham, LAADC, WTS, CS's National Provider Identifier is 1821692500, issued on Nov 24, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jose, CA. The record was last updated on Nov 24, 2020.