Individual
KELSIE TY GAUCHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
743 HORIZON CT STE 220, GRAND JUNCTION, CO 81506-8716
(970) 310-3406
Mailing address
743 HORIZON CT STE 220, GRAND JUNCTION, CO 81506-8716
(970) 310-3406
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11397624-3502
UT
1041C0700X
Clinical Social Worker
Primary
CSW.09928317
CO
Other
Enumeration date
08/22/2019
Last updated
06/07/2022
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