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NPI Code Detail

MEDICARE: SHAUNA LYNNE CHISHOLM MA, LMFT, ATR

MEDICARE:   SHAUNA LYNNE CHISHOLM  MA, LMFT, ATR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist89214CA

General Provider Information

NPI Number : 1740576214
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAUNA LYNNE CHISHOLM MA, LMFT, ATR
Provider Business Mailing Address
First Line : 312 KENTUCKY ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93305-4230
Country : US
Telephone Number : 661-336-6400
Fax Number :
Provider Business Practice Location Address
First Line : 312 KENTUCKY ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93305-4230
Country : US
Telephone Number : 661-336-6400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2011
Last Update Date : 06/24/2025

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Directions to “ SHAUNA LYNNE CHISHOLM MA, LMFT, ATR” Practice Location

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