Doctor Name: | MS. CHELSIA MICHELLE DURKEE |
NPI Number: | 1003210386 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ACSW |
License Number: | ASW63149 |
Business Practice Address: | 1007 N Lake Ave Pasadena, CA - 911044521 |
Business Phone Number: | 6268089749 |
Business Fax Number: | |
Mailing Address: | 1030 W Huntington Dr Apt 24, ARCADIA |
State: | CA |
Postal Code: | 910078850 |
Phone Number: | 5104074720 |
Fax Number: | |
NPI Enumeration Date: | 10/15/2014 |
NPI Last Update Date: | 10/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | ASW63149 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |