| Wanda Chisolm, LMHC, CASAC | |
|
107 East Main Street, East Islip, NY 11730 | |
| (631) 666-1615 | |
| Not Available |
| Full Name | Wanda Chisolm |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 107 East Main Street, East Islip, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629422639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 23644 (New York) | Secondary |
| 101YM0800X | Counselor - Mental Health | 007206 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Wanda Chisolm, LMHC, CASAC Po Box 1062, Bay Shore, NY 11706-0534 Ph: (917) 618-0081 | Wanda Chisolm, LMHC, CASAC 107 East Main Street, East Islip, NY 11730 Ph: (631) 666-1615 |
Mr. Richard Paul Purslow, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 107 W Main St, East Islip, NY 11730 Phone: 631-666-1615 | |
Mrs. Christine Ann Molinari, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 W Main St, East Islip, NY 11730 Phone: 631-666-1615 | |
Suzanne Mason-grossmann, MHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 Greenwood Ave, East Islip, NY 11730 Phone: 516-680-7008 | |
Michael Robert Hughes, CCMHC, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 134 E Madison St, East Islip, NY 11730 Phone: 631-661-1701 | |
Emily Silver, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 W Main St, East Islip, NY 11730 Phone: 631-666-1615 | |
Nicole Sewell, M.A., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Carleton Ave, Suite 5, East Islip, NY 11730 Phone: 631-671-1923 | |
Christopher Juzumas, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 W Main St, East Islip, NY 11730 Phone: 631-666-1615 |