Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003109158 |
---|---|
Provider Name | Chelsea Northrip |
First Address | Louisville, KY 40202-1423 |
Second Address | La Grange, KY 40031-6742 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2011 |
Last Update Date | 24/05/2011 |