Provider Demographics
NPI:1497582399
Name:DUKE, CHELSEA (M ED, LPCA)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:DUKE
Suffix:
Gender:F
Credentials:M ED, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 ROTHERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-6932
Mailing Address - Country:US
Mailing Address - Phone:717-793-6606
Mailing Address - Fax:
Practice Address - Street 1:406 ROTHERWOOD DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-6932
Practice Address - Country:US
Practice Address - Phone:717-793-6606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9109101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor