Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 79499 | TX |
NPI | 1003589680 |
---|---|
Provider Name | Miss Chelsea Patricia Strand |
First Address | Amarillo, TX 79101-4308 |
Second Address | Amarillo, TX 79101-4308 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2021 |
Last Update Date | 29/07/2021 |