Provider Demographics
NPI:1356113443
Name:HOWITZ, CHELSEY MARIE (CO61482100)
Entity type:Individual
Prefix:
First Name:CHELSEY
Middle Name:MARIE
Last Name:HOWITZ
Suffix:
Gender:F
Credentials:CO61482100
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4909 108TH ST SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-3724
Mailing Address - Country:US
Mailing Address - Phone:253-276-0042
Mailing Address - Fax:
Practice Address - Street 1:3214 50TH STREET CT STE D-305
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-8589
Practice Address - Country:US
Practice Address - Phone:253-544-4772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACO61482100101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)