Provider Demographics
NPI:1871264929
Name:GLUSZAK, CHELSIE ANN (LMHC)
Entity Type:Individual
Prefix:
First Name:CHELSIE
Middle Name:ANN
Last Name:GLUSZAK
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7230 WILROSE CT
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-1481
Mailing Address - Country:US
Mailing Address - Phone:716-957-2802
Mailing Address - Fax:
Practice Address - Street 1:7230 WILROSE CT
Practice Address - Street 2:
Practice Address - City:NORTH TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-1481
Practice Address - Country:US
Practice Address - Phone:716-957-2802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010513-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health