Individual
CHELSEA COUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11575 E LAKETOWNE DR, ALBERTVILLE, MN 55301-4348
(248) 299-0030
Mailing address
11575 E LAKETOWNE DR, ALBERTVILLE, MN 55301-4348
(248) 299-0030
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25178
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08258
—
OH
Enumeration date
12/01/2009
Last updated
12/10/2020
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