Doctor Name: | CHELSEA NEBEL |
NPI Number: | 1003270950 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CSW, SAC-IT |
License Number: | 17240-130 |
Business Practice Address: | 1111 S 6th St Milwaukee, WI - 532042301 |
Business Phone Number: | 4146438530 |
Business Fax Number: | 4146478602 |
Mailing Address: | 1111 S 6th St, MILWAUKEE |
State: | WI |
Postal Code: | 532042301 |
Phone Number: | 4146438530 |
Fax Number: | 4146478602 |
NPI Enumeration Date: | 04/07/2016 |
NPI Last Update Date: | 04/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 17240-130 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |