Individual
ANDREA CHILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
449 BLAKE CT, ARCATA, CA 95521-6808
(415) 310-5652
Mailing address
449 BLAKE CT, ARCATA, CA 95521-6808
(415) 310-5652
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
50103
CA
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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