CHARLES CHISHOLM

GREENSBORO, NC
NPI1275712952
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-10-30
Last Update Date2007-10-30
Business Address
-- CHARLES CHISHOLM BASW, QP
201 N EUGENE ST
GREENSBORO, NC 27401-2221
Phone number: 336-641-4957
Mailing Address
-- CHARLES CHISHOLM BASW, QP
902 BONNER DR
JAMESTOWN, NC 27282-8948
Phone number: 336-889-6105