Individual
CHELSEA ANTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
Mailing address
323 N PRAIRIE AVE, INGLEWOOD, CA 90301-4502
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW116207
CA
104100000X
Social Worker
Primary
ASW116207
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/12/2022
Last updated
11/21/2023
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