Miss. Khadija Chisholm
Miss. Khadija Chisholm is a Mental Health Counselor in Berkeley, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
3075 Adeline St Ste 120Berkeley, CA 94703-2579
Phone: (510) 848-1112
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1518692136 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 18, 2022 |
| Last updated in NPPES | July 18, 2022 |
| Certification date | July 18, 2022 |
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