Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | ASW63149 | CA |
NPI | 1003210386 |
---|---|
Provider Name | Ms. Chelsia Michelle Durkee |
First Address | Arcadia, CA 91007-8850 |
Second Address | Pasadena, CA 91104-4521 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2014 |
Last Update Date | 27/10/2014 |