Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Monique Chatrisa, PCCINTERN

Individual provider Professional Counselor · NPI 1164965133

Monique Chatrisa, PCCINTERN is a Mental Health Counselor in Crestline, California. Qualified in 2025, 1 year ago. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2016

Practice location Address checks out

24174 Wabern Dr
Crestline, CA 92325
Phone: (949) 940-6108
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2802 (CA)

Record details

NPI number1164965133
Entity typeIndividual (Type 1)
GenderFemale
Credentials PCCINTERN
Sole proprietorNo
NPI enumeratedNovember 23, 2016
Last updated in NPPESNovember 23, 2016
Mailing addressPo Box 947, Twin Peaks, CA 92391-0947

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare