Individual
AUSTIN JAMES CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACSW 98224
Contact information
Practice address
702-130 RICHMOND ROAD E, SUSANVILLE, CA 96130
(530) 257-5644
(530) 458-7751
Mailing address
PO BOX 3940, QUINCY, CA 95971
(530) 283-3330
(530) 458-7751
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
CA
Other
Enumeration date
06/05/2018
Last updated
12/02/2021
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