Individual
HANNAH CHISM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
16332 HICKORY PINE LN APT B, WILDWOOD, MO 63011-4830
(970) 445-7469
Mailing address
16332 HICKORY PINE LN APT B, WILDWOOD, MO 63011-4830
(970) 445-7469
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0020665
CO
101Y00000X
Counselor
Primary
2024031898
MO
Other
Enumeration date
07/29/2024
Last updated
08/13/2024
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