Healthcare Provider Details

I. General information

NPI: 1528360740
Provider Name (Legal Business Name): CHELSEA BEGIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2010
Last Update Date: 09/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1460 JOHN FITCH HWY
FITCHBURG MA
01420-2035
US

IV. Provider business mailing address

18 KENNEDY ST
CONCORD NH
03301-4939
US

V. Phone/Fax

Practice location:
  • Phone: 978-534-5218
  • Fax:
Mailing address:
  • Phone: 603-708-1438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: