| Chelsea Wong Licensed Clinical Social Worker Inc. | |
|
4500 The Woods Dr Apt 3024 San Jose CA 95136-4606 | |
| (408) 454-8075 | |
| Not Available |
| Full Name | Chelsea Wong Licensed Clinical Social Worker Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4500 The Woods Dr Apt 3024, San Jose, California |
| Authorized Official Name and Position | Chelsea K Wong (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4088022403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chelsea Wong Licensed Clinical Social Worker Inc. 3277 S White Rd Pmb 6059 San Jose CA 95148-4056 Ph: (408) 454-8075 | Chelsea Wong Licensed Clinical Social Worker Inc. 4500 The Woods Dr Apt 3024 San Jose CA 95136-4606 Ph: (408) 454-8075 |
| NPI Number | 1619788056 |
|---|---|
| Provider Enumeration Date | 01/15/2025 |
| Last Update Date | 01/15/2025 |
| Certification Date | 01/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619788056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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