CARRIE MARIE CHISHOLM B.S. CADC1 NPI 1336443217

NPI Information

NPI: 1336443217
Provider Name: CARRIE MARIE CHISHOLM, B.S., CADC1
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1003 E MAIN ST STE 104
MEDFORD, OR
ZIP 97504
Phone: (541) 326-4905
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Carrie Marie Chisholm, B.S., CADC1 is an addiction (substance use disorder) counselor in Medford, OR. Carrie Marie Chisholm, B.S., CADC1 NPI is 1336443217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1003 E MAIN ST STE 104
MEDFORD, OR
ZIP 97504
Phone: (541) 326-4905
Fax: (541) 608-2888

The enumeration date for this NPI number is 1/6/2011 and was last updated on 4/17/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	08-12-06	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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