Healthcare Provider Details

I. General information

NPI: 1295151231
Provider Name (Legal Business Name): CHELSEA DAHLEN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHELSEA FRANK LMFT

II. Dates (important events)

Enumeration Date: 03/14/2014
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5694 MISSION CENTER RD STE 602-294
SAN DIEGO CA
92108-4355
US

IV. Provider business mailing address

5694 MISSION CENTER RD STE 602-294
SAN DIEGO CA
92108-4355
US

V. Phone/Fax

Practice location:
  • Phone: 858-848-0914
  • Fax: 858-365-5929
Mailing address:
  • Phone: 858-848-0914
  • Fax: 858-365-5929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberIMF89632
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT111987
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: