MR. Michael Lee Chidester JR., CATC-I
NPI #1053973206 in Newark, California
Provider Information
- NPI Number
- 1053973206
- Entity Type
- Individual
- Name
- MR. Michael Lee Chidester JR., CATC-I
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CATC-I
- Enumeration Date
- Jul 8, 2019
- Last Updated
- Jul 8, 2019
Practice Location
- Address
- 6330 THORNTON AVE
- City
- Newark
- State
- California
- ZIP Code
- 94560-3734
- Phone
- (510) 792-4357
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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