Provider Demographics
NPI:1326426636
Name:KUEHL, CHELSEA (MA, LMFT, CATC-IV)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:KUEHL
Suffix:
Gender:F
Credentials:MA, LMFT, CATC-IV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 COTTAGE ST
Mailing Address - Street 2:
Mailing Address - City:MEDWAY
Mailing Address - State:MA
Mailing Address - Zip Code:02053-1549
Mailing Address - Country:US
Mailing Address - Phone:714-727-7437
Mailing Address - Fax:562-987-4586
Practice Address - Street 1:21 COTTAGE ST
Practice Address - Street 2:
Practice Address - City:MEDWAY
Practice Address - State:MA
Practice Address - Zip Code:02053-1549
Practice Address - Country:US
Practice Address - Phone:714-727-7437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-07
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
CA117048106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA190077AHNMedicaid