Provider Demographics
NPI:1942671953
Name:HOELSKEN, CHANDRA
Entity Type:Individual
Prefix:
First Name:CHANDRA
Middle Name:
Last Name:HOELSKEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHANDRA
Other - Middle Name:
Other - Last Name:PASTEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:1414 3RD ST
Mailing Address - Street 2:
Mailing Address - City:CALISTOGA
Mailing Address - State:CA
Mailing Address - Zip Code:94515-1422
Mailing Address - Country:US
Mailing Address - Phone:925-984-0138
Mailing Address - Fax:
Practice Address - Street 1:1414 3RD ST
Practice Address - Street 2:
Practice Address - City:CALISTOGA
Practice Address - State:CA
Practice Address - Zip Code:94515-1422
Practice Address - Country:US
Practice Address - Phone:925-984-0138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-16
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMFT77713101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health