Individual
DEBREAH SHAWN CHISM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
NOT RELEASABLE, FT. HOOD, TX 76544
(254) 681-6797
Mailing address
217 SPUR DR, COPPERAS COVE, TX 76522-1052
(254) 681-6797
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
78626
TX
Other
Enumeration date
07/10/2019
Last updated
01/29/2020
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