Doctor Name: | MS. CHELSEA STREETER |
NPI Number: | 1992136220 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC-TL, CADC |
License Number: | 13039 |
Business Practice Address: | 124 N 1st Ave Winterset, IA - 502731551 |
Business Phone Number: | 5154684202 |
Business Fax Number: | |
Mailing Address: | 3115 Douglas Ave, DES MOINES |
State: | IA |
Postal Code: | 503105307 |
Phone Number: | 5152354720 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2013 |
NPI Last Update Date: | 04/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 13039 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |