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NPI Code Detail

MEDICARE: CHELSEA KESHAWN BRIDGES

MEDICARE: CHELSEA KESHAWN BRIDGES
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
1106H00000XMarriage & Family TherapistAMFT148174CA
2101YP2500XProfessional CounselorAPCC17401CA

General Provider Information

NPI Number : 1518892975
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA KESHAWN BRIDGES
Provider Business Mailing Address
First Line : 2420 MARTIN RD STE 200
Second Line :
City : FAIRFIELD
State : CA
Zip : 94534-8610
Country : US
Telephone Number : 707-399-4520
Fax Number : 707-399-4521
Provider Business Practice Location Address
First Line : 2420 MARTIN RD STE 200
Second Line :
City : FAIRFIELD
State : CA
Zip : 94534-8610
Country : US
Telephone Number : 707-399-4520
Fax Number : 707-399-4521
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/24/2026

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Directions to “ CHELSEA KESHAWN BRIDGES ” Practice Location

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