MEDICARE: CHELSEA MICHELE CORNELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YS0200X	School Counselor	ASW114431	CA

General Provider Information

NPI Number	:	1225902448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA MICHELE CORNELL

Provider Business Mailing Address
First Line	:	1163 E 7TH ST
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95928-5999
Country	:	US
Telephone Number	:	530-891-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	290 EAST AVE
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95926-1122
Country	:	US
Telephone Number	:	530-891-3092
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2025
Last Update Date	:	10/01/2025

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Directions to “ CHELSEA MICHELE CORNELL ” Practice Location

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