Michael Scott Chitwood Sr., MHP
Prevention Professional in Rock Island, IL. Individual provider (NPI-1).
NPI number1982305173
StatusActive
Last updated in NPPESSep 13, 2023
Details
- NPI
- 1982305173
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael Scott Chitwood Sr.
- Credential
- MHP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2023
- Certification date
- Sep 13, 2023
- Last updated
- Sep 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 405300000X | Prevention Professional | XXXXXXX | IA | Yes |
Practice location
1317 3rd AveRock Island, IL 61201-8562
Phone 309-794-1230
Mailing address
2200 3rd AveRock Island, IL 61201-8840
Phone 309-779-2094
Other practice locations
2200 3rd Ave
Rock Island, IL 61201-8840
Rock Island, IL 61201-8840
Phone 309-779-2094
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