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Individual

CHRISTOPHER HUGO CHISOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSAC

Contact information

Practice address
N3152 STATE ROAD 81, MONROE, WI 53566-8821
(608) 328-9352
(608) 328-9480
Mailing address
N3152 STATE ROAD 81, MONROE, WI 53566-8821
(608) 324-3601
(608) 328-9480

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17265-32
WI
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
10/18/2021
Last updated
02/27/2026
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