Provider Demographics
NPI:1619597622
Name:MCGUIGAN, CHELSEA KRISTINE
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:KRISTINE
Last Name:MCGUIGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2107 ROBIN LN
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19465-8609
Mailing Address - Country:US
Mailing Address - Phone:610-742-7504
Mailing Address - Fax:
Practice Address - Street 1:1610 MEDICAL DR STE 310
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-3293
Practice Address - Country:US
Practice Address - Phone:610-970-5000
Practice Address - Fax:670-970-3331
Is Sole Proprietor?:No
Enumeration Date:2020-04-20
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011296101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional