Provider Demographics
NPI:1598208324
Name:YAMAGUCHI, CHELSEA ANN (MA, LPC)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:ANN
Last Name:YAMAGUCHI
Suffix:
Gender:
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2476 ABAS DR
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81505-2015
Mailing Address - Country:US
Mailing Address - Phone:970-208-3503
Mailing Address - Fax:
Practice Address - Street 1:2384 RIDGE CIRCLE DR
Practice Address - Street 2:UNIT 10
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81507-4609
Practice Address - Country:US
Practice Address - Phone:970-208-3503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-28
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00140142101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional