STEPHANIE CHISM

LOS ANGELES, CA
NPI1992992564
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-09-27
Last Update Date2007-09-27
Business Address
-- STEPHANIE CHISM
8346 BEVERLY BLVD
LOS ANGELES, CA 90048-2632
Phone number: 323-659-1677
Mailing Address
-- STEPHANIE CHISM
26460 SUMMIT CIR
SANTA CLARITA, CA 91350-2991
Phone number: