Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 876 | KS |
Y | 104100000X | Social Worker | 11443 | KS |
NPI | 1003427428 |
---|---|
Provider Name | Chelsea Marie Musfeldt |
First Address | Kansas City, KS 66102-3020 |
Second Address | Kansas City, KS 66102-3020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2020 |
Last Update Date | 10/08/2020 |