CARRIE MARIE CHISHOLM

MEDFORD, OR
NPI1336443217
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  08-12-06)
Enumeration Date2011-01-06
Last Update Date2019-04-17
Business Address
CARRIE MARIE CHISHOLM B.S., CADC1
1003 E MAIN ST STE 104
MEDFORD, OR 97504
Phone number: 541-326-4905
Mailing Address
CARRIE MARIE CHISHOLM B.S., CADC1
1003 E MAIN ST STE 104
MEDFORD, OR 97504-7140
Phone number: 541-326-4905
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