| Doctor Name: | MISS CARIZMA AMILA CHAPMAN |
| NPI Number: | 1033351051 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | IMF 59352 |
| Business Practice Address: | 12712 Heacock St Suite 6 Moreno Valley, CA - 925533037 |
| Business Phone Number: | 9512435576 |
| Business Fax Number: | 8008966067 |
| Mailing Address: | 12712 Heacock St, Suite 6 MORENO VALLEY |
| State: | CA |
| Postal Code: | 925533037 |
| Phone Number: | 9512435576 |
| Fax Number: | 8008966067 |
| NPI Enumeration Date: | 04/06/2009 |
| NPI Last Update Date: | 04/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | IMF 59352 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |