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NPI 1891484564

NPI 1891484564 : CHELSEE ANN HOUZE CSAC, RIC : SALEM, VA

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General NPI Number Information
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    NPI Number           |    1891484564
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    Entity Type          |    Individual 
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    Provider Name        |    CHELSEE ANN HOUZE CSAC, RIC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/08/2023
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    Last Update Date     |    08/21/2025
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Provider Practice Location Address
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    Address Line         |    860 MOUNT VERNON LN 
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    City                 |    SALEM
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    State                |    VA
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    Zip                  |    24153-2700
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    Country              |    US
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    Telephone            |    540-750-6225
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3208 HERSHBERGER RD NW 
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    City                 |    ROANOKE
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    State                |    VA
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    Zip                  |    24017
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    Country              |    US
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    Telephone            |    540-912-4211
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    0704017616
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    License Number State |    VA
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