Provider Demographics
NPI:1790491181
Name:DIMOND, CHELSEA KAY (MA, MS, MHC-LP)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:KAY
Last Name:DIMOND
Suffix:
Gender:F
Credentials:MA, MS, MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:CANAJOHARIE
Mailing Address - State:NY
Mailing Address - Zip Code:13317-1438
Mailing Address - Country:US
Mailing Address - Phone:518-527-1838
Mailing Address - Fax:
Practice Address - Street 1:100 GREAT OAKS BLVD STE 127
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-7903
Practice Address - Country:US
Practice Address - Phone:518-545-4834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty