Individual
CHAD UPSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
673 WOODLAND SQUARE LOOP SE STE 330, LACEY, WA 98503-1066
(415) 710-6689
Mailing address
1295 BANDANA BLVD N STE 210, SAINT PAUL, MN 55108-5115
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/12/2024
Last updated
12/13/2024
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