Provider Demographics
NPI:1073351482
Name:CRICHTON, CHELSEA NICOLE
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:NICOLE
Last Name:CRICHTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2266 BRIGHT STAR AVE
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-5204
Mailing Address - Country:US
Mailing Address - Phone:575-993-3091
Mailing Address - Fax:
Practice Address - Street 1:2266 BRIGHT STAR AVE
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-5204
Practice Address - Country:US
Practice Address - Phone:575-993-3091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor