Doctor Name: | CHELSEA FRIEND |
NPI Number: | 1144608548 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | |
Business Practice Address: | 200 Hoosier Dr Suite E Angola, IN - 467039345 |
Business Phone Number: | 2606243741 |
Business Fax Number: | |
Mailing Address: | 2621 E Jefferson St, WARSAW |
State: | IN |
Postal Code: | 465803880 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/18/2015 |
NPI Last Update Date: | 05/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |