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Individual

DAVID ANDREW CHISM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
111 PROSPECT AVENUE, SUITE 203, ROOM A, KIRKWOOD, MO 63122-6067
(314) 591-0273
Mailing address
111 PROSPECT AVENUE, SUITE 203, ROOM A, KIRKWOOD, MO 63122-6067
(314) 591-0273

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2021001879
MO

Other

Enumeration date
06/17/2021
Last updated
05/24/2024
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