Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
N | 101YP2500X | Professional Counselor | ||
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
N | 103TC1900X | Counseling Psychologist | ||
N | 103TS0200X | School Psychologist |
NPI | 1003437963 |
---|---|
Provider Name | Chelsea Heller |
First Address | Upland, CA 91786-2652 |
Second Address | Upland, CA 91786-2652 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2020 |
Last Update Date | 14/01/2021 |