Most Relevant Information
Provider Data
| NPI Number: | 1003306580 |
| Provider Name: | CHELSEA GOLLOB |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/10/2018 |
| Last Updated: | 10/13/2022 |
Provider Practice Location
2230 PROFESSIONAL DR STE A
SANTA ROSA
CA
954033015
Practice Location Phone/Fax
| Phone: | 7074839061 |
| Fax: |
Provider Mailing Location
951 LOVELL AVE
CAMPBELL
CA
950085915
Provider Mailing Phone/Fax
| Phone: | 4086872411 |
| Fax: |