Individual
AISHIA CHENERY CHESTNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8903
(843) 347-5060
Mailing address
401 BEULAH CIR, CONWAY, SC 29527-3795
(843) 516-3869
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9072
SC
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
05/05/2026
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