Individual
DANIELL C CHISLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LSOTP
Contact information
Practice address
2627 AVENUE M, GALVESTON, TX 77550-4375
(832) 969-3545
Mailing address
11853 ALGONQUIN DR, HOUSTON, TX 77089-6202
(281) 795-2671
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
81041
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
INTERN
TX
101YM0800X
Mental Health Counselor
99658
TX
Other
Enumeration date
10/13/2022
Last updated
04/02/2023
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