Individual
MISS CHELSEA CHELSEA WOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4170 COUGAR RD, BELLINGHAM, WA 98226-9143
(360) 348-6414
Mailing address
4170 COUGAR RD, BELLINGHAM, WA 98226-9143
(360) 348-6414
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
602959655
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271071030
—
WA
Enumeration date
04/08/2013
Last updated
01/07/2016
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