Individual
CHELSEA HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
804 N WOODLAND BLVD, DELAND, FL 32720-2709
(386) 734-7571
Mailing address
804 N WOODLAND BLVD, DELAND, FL 32720-2709
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH14375
FL
106H00000X
Marriage & Family Therapist
IMT2456
FL
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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