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NPI Code Detail

MEDICARE: CHELSEA BROOKE INDIANO LSW, LPC

MEDICARE:   CHELSEA BROOKE INDIANO  LSW, LPC
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
1101YM0800XMental Health Counselor2405801OH

General Provider Information

NPI Number : 1871358606
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA BROOKE INDIANO LSW, LPC
Provider Business Mailing Address
First Line : 36 N HIGH ST
Second Line :
City : CANAL WINCHESTER
State : OH
Zip : 43110-1109
Country : US
Telephone Number : 614-832-1274
Fax Number :
Provider Business Practice Location Address
First Line : 36 N HIGH ST
Second Line :
City : CANAL WINCHESTER
State : OH
Zip : 43110-1109
Country : US
Telephone Number : 614-832-1274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2024
Last Update Date : 01/14/2026

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Directions to “ CHELSEA BROOKE INDIANO LSW, LPC” Practice Location

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