# MR. CHANSEREY PICH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1598626475
- **Gender:** Man
- **Credential:** PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 125645 | WV | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 31217 | SC | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | SP034602 | PA | Yes |

## Other

- **Enumeration date:** 11/20/2025
- **Last updated:** 04/13/2026