Individual
CHELSEA MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1717 20TH ST STE 102, VERO BEACH, FL 32960-0619
(772) 453-1473
Mailing address
2544 2ND ST SW, VERO BEACH, FL 32962-3345
(772) 453-1473
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SW21749
FL
101YM0800X
Mental Health Counselor
SW21749
FL
1041C0700X
Clinical Social Worker
SW21749
FL
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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