Individual
CHELSEA A GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804
(417) 761-5000
(417) 761-5011
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2012011493
MO
103TC1900X
Counseling Psychologist
Primary
2014040968
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490007881
—
MO
Enumeration date
08/21/2013
Last updated
08/01/2025
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