Provider Demographics
NPI:1053848465
Name:MARKOPOULOS, CHELSEA CHRISTINA (MA, CAADC, LPC)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:CHRISTINA
Last Name:MARKOPOULOS
Suffix:
Gender:F
Credentials:MA, CAADC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:PEN ARGYL
Mailing Address - State:PA
Mailing Address - Zip Code:18072-9732
Mailing Address - Country:US
Mailing Address - Phone:908-319-8488
Mailing Address - Fax:
Practice Address - Street 1:1450 CHURCH RD
Practice Address - Street 2:
Practice Address - City:PEN ARGYL
Practice Address - State:PA
Practice Address - Zip Code:18072-9732
Practice Address - Country:US
Practice Address - Phone:908-319-8488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009401101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional