Individual
CLARE L. CHISHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC (MT)
Contact information
Practice address
941 WESTWOOD BLVD, SUITE 206, LOS ANGELES, CA 90024
(323) 770-2854
Mailing address
941 WESTWOOD BLVD., SUITE 206, LOS ANGELES, CA 90024
(323) 770-2854
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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