| Kitty Chelton Mft | |
|
7765 Healdsburg Ave Ste 12 Sebastopol CA 95472-3355 | |
| (707) 823-8203 | |
| Not Available |
| Full Name | Kitty Chelton Mft |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7765 Healdsburg Ave Ste 12, Sebastopol, California |
| Authorized Official Name and Position | Kitty Chalmers Chelton (OWNER) |
| Authorized Official Contact | 7078238203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kitty Chelton Mft 7765 Healdsburg Ave Ste 12 Sebastopol CA 95472-3355 Ph: (707) 823-8203 | Kitty Chelton Mft 7765 Healdsburg Ave Ste 12 Sebastopol CA 95472-3355 Ph: (707) 823-8203 |
| NPI Number | 1053703967 |
|---|---|
| Provider Enumeration Date | 03/02/2015 |
| Last Update Date | 03/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053703967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MFT30322 (California) | Primary |
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