Individual
CHRISTINE CHISUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
324 E RAILROAD AVE STE 500, FORT MORGAN, CO 80701-3144
(970) 380-8239
Mailing address
29 COOPER CT, FORT MORGAN, CO 80701-9205
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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