Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MR. TUBARUS CHISHOLM
Active
Individual
MR. TUBARUS CHISHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LC3626
MD
101YP2500X
Professional Counselor
Primary
PRC14348
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC3626
DEPARTMENT OF HEALTH AND MENTAL HYGIENE
MD
01
—
PRC14348
DEPARTMENT OF HEALTH LICENSING
DC
Enumeration date
10/17/2014
Last updated
10/18/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up