Provider Demographics
NPI:1225682230
Name:NAJJAR, CHELSEE JO (MS)
Entity Type:Individual
Prefix:
First Name:CHELSEE
Middle Name:JO
Last Name:NAJJAR
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:CHELSEE
Other - Middle Name:JO
Other - Last Name:ALVARADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:15403 PLANTATION OAKS DR APT 8
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2162
Mailing Address - Country:US
Mailing Address - Phone:763-412-6116
Mailing Address - Fax:
Practice Address - Street 1:1203 GOVERNORS SQUARE BLVD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-2994
Practice Address - Country:US
Practice Address - Phone:850-354-5806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-29
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL22389101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22389OtherLMHC