Individual provider · Type 1 NPI

Madison Chisum

Mental Health Counselor · Jacksonville, NC

NPI number 1992675573 Active

Practice location

1703 Country Club Rd Ste 204
Jacksonville, NC 28546-6098

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA22126 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1992675573

Madison Chisum's National Provider Identifier is 1992675573, issued on Nov 7, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, NC. The record was last updated on Nov 7, 2025.