Clarisse Marie Chadwick, LPC

NPI #1114105475 in American Fork, Utah

Provider Information

NPI Number: 1114105475
Entity Type: Individual
Name: Clarisse Marie Chadwick, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Feb 8, 2008
Last Updated: Feb 8, 2008

Practice Location

Address: 71 N 490 W
City: American Fork
State: Utah
ZIP Code: 84003-2264
Phone: (801) 763-7775

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X

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