IndividualActive
Demetrias Chisolm
NPI 1053404251 · Professional Counselor · N Charleston, SC
Provider details
- NPI number
- 1053404251
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 7692 (SC)
Mailing address
9867 Black Tupelo Ln
Ladson, SC 29456-8536
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2021-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.