Provider Demographics
NPI:1104308543
Name:BIRD, CHELSEA GAIL (BA IN PSYCHOLOGY)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:GAIL
Last Name:BIRD
Suffix:
Gender:F
Credentials:BA IN PSYCHOLOGY
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:38250 COUNTY ROAD 29
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695
Mailing Address - Country:US
Mailing Address - Phone:530-601-0837
Mailing Address - Fax:
Practice Address - Street 1:4250 AUBURN BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95841
Practice Address - Country:US
Practice Address - Phone:916-489-3336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-01
Last Update Date:2018-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health