Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | MN |
NPI | 1114523123 |
---|---|
Provider Name | Chelsey Morgan |
First Address | Duluth, MN 55811-5596 |
Second Address | Duluth, MN 55811-5596 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2020 |
Last Update Date | 04/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
- | N/A (01) |